Active NPI
Coley Bailey
- Occupational Therapist
- Stafford, VA
National Provider Identifier
1336991249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010316
- Practice address
- 90 Greenspring Dr
Stafford, VA 22554-1752 - Phone
- (540) 657-7134
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119010316 | VA | Primary |
Addresses
Primary practice location
90 Greenspring Dr
Stafford, VA 22554-1752
Mailing address
1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Other practice location 1
52 W Shirley Ave
Warrenton, VA 20186-3008
Phone (540) 347-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1340 Central Park Blvd
Suite 100
Fredericksburg, VA 22401-4940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119010316 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1336991249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRAL PARK BLVD STE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 GREENSPRING DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541752",
"telephone_number": "540-657-7134"
}
],
"practiceLocations": [
{
"address_1": "52 W Shirley Ave",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "VA",
"postal_code": "201863008",
"country_code": "US",
"telephone_number": "540-347-9220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "COLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.