Bailey Wiggins, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P23964 Issued in NC

Practice address

8420 University Exec Park Dr
Charlotte, NC 28262-1344

Phone

(704) 752-1616

Fax

(704) 759-0799

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bailey Daughtry Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

97.73 of 100Reported as individual

Quality

95.46

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Therapy South LLC - Fultondale

  • Physical Therapist
  • Fultondale, AL
  • NPI 1972787687
  Medicare reassignment NPD
• Queen City Therapy, PLLC

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1154813681

  Physical Therapist

  NPD (past)
• Therapy South LLC Fultondale

  • Physical Therapist
  • Fultondale, AL
  • NPI 1346424769
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1104508720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 UNIVERSITY EXEC PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621344",
            "telephone_number": "704-752-1616",
            "fax_number": "704-759-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Seagle St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784337",
            "country_code": "US",
            "telephone_number": "704-752-1616",
            "fax_number": "704-759-0799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3471 Lowery Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fultondale",
            "state": "AL",
            "postal_code": "350681681",
            "country_code": "US",
            "telephone_number": "205-849-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "BAILEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23964",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "DAUGHTRY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wig Out LLC
• Meeta Wig, M.D.
• Lisa Wigfall, LCASA
• Adrienne Elizabeth Wiggins-Metcalf, MD
• Anne Wiggins, LCSWA
• Christina Wiggins
• Darnese Nicole Wiggins
• Jacara Wiggins
• Jeffrey Mark Wiggins, PA
• Qualimisha Wiggins

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.