Individual ProviderChristopher J BaileyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9827 Maple Grove Pkwy N, Maple Grove, MN 55369-4491(952) 993-1460PECOS EnrollmentBased on the most recent information from CMS, provider Christopher J Bailey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1760718084Provider TypeIndividualFull NameBailey, Christopher JCredentialPTGenderMaleSole ProprietorNoEnumeration Date10/21/2009Last Updated10/21/2009Contact InformationPractice LocationPractice Address9827 Maple Grove Pkwy N, Maple Grove, MN 55369-4491Phone(952) 993-1460FaxUnlisted FaxMailing LocationMailing Address6465 Wayzata Blvd, Ste 210, St Louis Park, MN 55426-1728PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8368MinnesotaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense004294IowaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070014085Illinois