Savannah Emilee Ashlyn Bailey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215219 Issued in VA

Practice address

8346 Traford LN
West Springfield, VA 22152-1600

Phone

(703) 913-5705

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Active Body Physical Therapy Wellness, PLLCGroup PAC ID 8921194739, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Body Physical Therapy Wellness, PLLC

  • Physical Therapist
  • Springfield, VA
  • NPI 1215149125

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1104549096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 BRIDGE CREEK CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522241",
            "telephone_number": "571-623-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8346 TRAFORD LN",
            "city": "WEST SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521600",
            "telephone_number": "703-913-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SAVANNAH",
        "middle_name": "EMILEE ASHLYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Hamdy Abdelwahab, DDS
• Jennifer Lynn Carpenito, PSY.D.
• Regina Carr, M.S.CCC-SLP
• Cassidy Christian, PT, DPT
• Sonia Marie Coonen
• Yuval Friedman, DPT

• Physical Therapist in West Springfield, VA
• Providers in West Springfield, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.