Provider Demographics
NPI:1083851935
Name:BAYLEY, ROBERT C (DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:BAYLEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HECKEL RD
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1652
Mailing Address - Country:US
Mailing Address - Phone:412-777-6231
Mailing Address - Fax:412-777-6528
Practice Address - Street 1:30 HECKEL RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1652
Practice Address - Country:US
Practice Address - Phone:412-777-6231
Practice Address - Fax:412-777-6528
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherNUMBERS CURRENTLY PENDING FOR MEDICARE