Alisa Bailey, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201005097 Issued in MI

Practice address

29256 Ryan Rd
Warren, MI 48092

Phone

(586) 751-6667

Fax

(586) 751-1888

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  MI, Occupational Therapist

  Medicare reassignment NPD
• Khan Therapy, Inc.

  • Occupational Therapist
  • Novi, MI
  • NPI 1053467225
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1992975189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8834 MCCOLL SIDE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168836",
            "telephone_number": "734-255-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29256 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-751-6667",
            "fax_number": "586-751-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29256 Ryan Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480924242",
            "country_code": "US",
            "telephone_number": "586-751-6667",
            "fax_number": "586-751-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ALISA",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Bacalia
• Backos Physical Medicine and Rehabilitation Clinice PLC
• Eric Nicholas Backos, M.D.
• William Thomas Bacus
• Shalbhadra Bafna, M.D.
• Latifah Bailey
• Bailey's Home Care Staffing Agency, LLC
• Baileys Home for the Aged, LLC
• Jennifer Bajoka
• Manisha Kaur Bajwa, PHARM.D., CGP

• Occupational Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.