Individual provider Active NPI

Julie L Bailor, PT

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1962709766
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013449 Issued in IL
Practice address
3475 S Alpine Rd
Rockford, IL 61109-2604
Phone
(815) 874-8000
Fax
(815) 874-7525
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070013449 IL Primary

Addresses

Primary practice location

3475 S Alpine Rd
Rockford, IL 61109-2604

Mailing address

PO Box 2176
Dept 5389
Milwaukee, WI 53201-2176
Phone (815) 713-2600

Other identifiers 1

IdentifierTypeStateIssuer
070013449OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000854 IL Practitioner - Physical Therapist in Private Practice 7618146564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jun 19, 2023 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Feb 15, 2011 Accepting new patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients

Locations

2853 Kirk Rd
Aurora, IL 60502
Phone (630) 401-8447

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

5970 Churchview Dr
Rockford, IL 61107
Phone (815) 971-8990

6595 E State St
Rockford, IL 61108
Phone (815) 226-1300

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

Interoperability endpoints

  • Direct secure messaging: jbailor103565@direct.mhemail.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1962709766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2176",
            "address_2": "DEPT 5389",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532012176",
            "telephone_number": "815-713-2600",
            "fax_number": "815-654-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 S ALPINE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092604",
            "telephone_number": "815-874-8000",
            "fax_number": "815-874-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILOR",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070013449",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.