MEDICARE: JAMES CALEB BAILEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4430	OK

General Provider Information

NPI Number	:	1699061960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CALEB BAILEY DPT

Provider Business Mailing Address
First Line	:	PHYSICAL THERAPY CENTRAL
Second Line	:	440 MERCHANT
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73069-6470
Country	:	US
Telephone Number	:	405-809-8710
Fax Number	:	405-573-6768

Provider Business Practice Location Address
First Line	:	PHYSICAL THERAPY CENTRAL
Second Line	:	440 MERCHANT
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73069-6470
Country	:	US
Telephone Number	:	405-809-8710
Fax Number	:	405-573-6768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	07/21/2022

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