Active NPI
Bailee Jordan Croy, DPT
- Physical Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35939
- Practice address
- 2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4717 - Phone
- (904) 634-0640
- Fax
- (904) 634-0640
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35939 | FL | Primary |
Addresses
Primary practice location
2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4717
Mailing address
6500 Bowden Rd Ste 103
Jacksonville, FL 32216-8066
Phone (904) 634-0640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
708 3Rd St N
Jacksonville Beach, FL 32250-7149
Phone (904) 822-4622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35939 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Concierge Physio LLC | Physical Therapist | Current | Accepting new patients |
Locations
6500 Bowden Rd
Ste 103
Jacksonville, FL 32216
2627 Riverside Ave
Ste 300
Jacksonville, FL 32204
Phone (904) 634-0460
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
708 3rd St N
Jax Bch, FL 32250
Phone (904) 822-4622
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.
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1013559632
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1992306229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 BOWDEN RD STE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168066",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 RIVERSIDE AVE STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044717",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROY",
"first_name": "BAILEE",
"middle_name": "JORDAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.