Active NPI
Jeffrey Allen Bailey, ATC, NCTM
- Specialist
- Ashburn, VA
National Provider Identifier
1376780528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0126001289
- Practice address
- 22525 Belmont Ridge Rd
Ashburn, VA 20148-6925 - Phone
- (703) 957-4408
- NPI assigned
- Jan 9, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0126001289 | VA | Primary |
Addresses
Primary practice location
22525 Belmont Ridge Rd
Ashburn, VA 20148-6925
Mailing address
5132 Dumfries Rd
Warrenton, VA 20187-8925
Phone (540) 270-8175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001289 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1376780528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 DUMFRIES RD",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201878925",
"telephone_number": "540-270-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22525 BELMONT RIDGE RD",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201486925",
"telephone_number": "703-957-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"credential": "ATC, NCTM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-09",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0126001289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.