Individual provider Active NPI

Bailey Waltz, PT, DPT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1063398444
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP060451T Issued in NC
Practice address
170 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 765-7058
NPI assigned
Aug 12, 2025
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP060451T NC Primary
Physical Therapist 225100000X CP049235T AZ
Physical Therapist 225100000X 009405 KY
Physical Therapist 225100000X CP051858T CO

Addresses

Primary practice location

170 Kimel Park Dr
Winston Salem, NC 27103-6946

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (336) 718-4820

Other practice location 1

7800 John Davis Dr Ste 460
Frankfort, KY 40601-6577
Phone (502) 699-2734

Other practice location 2

8275 N Silverbell Rd Ste 113
Tucson, AZ 85743-5307
Phone (520) 382-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250919003717 AZ Practitioner - Physical Therapist in Private Practice 2466956503 Reassigns benefits to 1 organization
I20260416003284 KY Practitioner - Physical Therapist in Private Practice 2466956503 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Practice addresses (Care Compare)

7800 John Davis Dr
Suite 460
Frankfort, KY 40601-6577
Phone (502) 699-2734

8275 N Silverbell Rd
Suite 113
Tucson, AZ 85743-5307
Phone (520) 784-6570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP049235TAZMDPhysical Therapist
CP051858TCOMDPhysical Therapist
009405KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients

Locations

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

8275 N Silverbell Rd
Ste 113
Tucson, AZ 85743
Phone (520) 382-8202

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1063398444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "336-718-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-765-7058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 John Davis Dr Ste 460",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016577",
            "country_code": "US",
            "telephone_number": "502-699-2734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8275 N Silverbell Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857435307",
            "country_code": "US",
            "telephone_number": "520-382-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "BAILEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP060451T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP049235T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009405",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP051858T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.