NPIMap

Individual provider Active NPI

Kimberly Bailey, ATC, PTA

  • Athletic Trainer
  • Tuscaloosa, AL
National Provider Identifier
1992444806
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
700 Issued in AL
Practice address
1451 Dr Edward Hillard Dr Ste 130
Tuscaloosa, AL 35401-7449
Phone
(205) 461-5899
Fax
(205) 860-7029
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 700 AL
Physical Therapy Assistant 225200000X PTA9407 AL
Athletic Trainer 2255A2300X 700 AL Primary

Addresses

Primary practice location

1451 Dr Edward Hillard Dr Ste 130
Tuscaloosa, AL 35401-7449

Mailing address

1451 Dr Edward Hillard Dr Ste 130
Tuscaloosa, AL 35401-7449
Phone (205) 561-5899

Other names 1

  • Kimberly Bailey Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.bailey@atipt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
700ALMDSports Medicine (Physical Medicine & Rehabilitation) Physician
PTA9407ALMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC CurrentSince Jun 5, 2022 Accepting new patients

Locations

1451 Dr Edward Hillard Dr
Ste 130
Tuscaloosa, AL 35401
Phone (205) 461-5899

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1992444806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 DR EDWARD HILLARD DR STE 130",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017449",
            "telephone_number": "205-561-5899",
            "fax_number": "205-860-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 DR EDWARD HILLARD DR STE 130",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017449",
            "telephone_number": "205-461-5899",
            "fax_number": "205-860-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KIMBERLY",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AL",
            "license": "700",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA9407",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.bailey@atipt.com",
            "affiliation": "N",
            "endpointDescription": "Electronic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1451 Dr Edward Hillard Dr Ste 130",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354017449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BAILEY",
            "credential": "ATC, PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.