JODIE BAILEY, LMBT, MLD-C, CST — NPI 1104532472 (Licensed & Credentialed Massage Therapist in CORNELIUS, NC)

CMS-1500 Box 24J / 33a • NPI

1104532472

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225700000X

Licensed & Credentialed Massage Therapist

Box 32 Service Location & ZIP+4

20830 TORRENCE CHAPEL RD UNIT 101, CORNELIUS, NC, 28031-0300

✓ 9-Digit EDI 837 ZIP+4 (28031-0300)

Practice Phone & Referral Fax

(704) 359-7100

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104532472 (JODIE BAILEY, LMBT, MLD-C, CST) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104532472` (NPI-1 Individual Practitioner)
Provider / Legal Name	JODIE BAILEY, LMBT, MLD-C, CST
Plain-English Specialty	Licensed & Credentialed Massage Therapist NUCC Code: `225700000X` (Massage Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	20830 TORRENCE CHAPEL RD UNIT 101, CORNELIUS, NC, 28031-0300
Practice Telephone / Fax	Tel: (704) 359-7100
Administrative Mailing Address	10726 WAYCROSS DR, HUNTERSVILLE, NC, 28078-2641
Enumeration & Last Sync	Enumerated: 2023-01-30 \| CMS Record Updated: 2023-01-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20830 TORRENCE CHAPEL RD UNIT 101, CORNELIUS, NC, 28031-0300

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Plain-English Taxonomy & CMS Crosswalk (225700000X)

What Does Taxonomy Code 225700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225700000X translates to:
"Licensed & Credentialed Massage Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Massage Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JODIE BAILEY, LMBT, MLD-C, CST)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225700000X` — Massage Therapist Plain English: Licensed & Credentialed Massage Therapist	State: NC \| License: `20599` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JODIE BAILEY, LMBT, MLD-C, CST (NPI #1104532472)