Individual provider Active NPI

Tiffany Nicole Deloatch Bailey, DPT, OCS

  • Physical Therapist
  • Martinsville, VA
National Provider Identifier
1609161801
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
301 Lavinder St
Martinsville, VA 24112-3520
Phone
(276) 632-5281
NPI assigned
Jun 15, 2011
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206898 VA
Physical Therapist 225100000X VA Primary

Addresses

Primary practice location

301 Lavinder St
Martinsville, VA 24112-3520

Mailing address

301 Lavinder St
Martinsville, VA 24112-3520
Phone (276) 632-5281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001115 VA Practitioner - Physical Therapist in Private Practice 7214312172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Sunnyside Presbyterian HomeGroup PAC ID 9739107665, 9 clinicians

Practice addresses (Care Compare)

12349 Martinsville Hwy
Danville, VA 24541-0855
Phone (276) 732-7857

501 Oak Ave
Waynesboro, VA 22980-4400
Phone (540) 941-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Presbyterian Home Physical Therapist CurrentSince May 8, 2024 Accepting new patients
P4 Physical Therapy Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Family YMCA, Inc. Physical Therapist PastSince Apr 14, 2022 Accepting new patients

Locations

12349 Martinsville Hwy
Danville, VA 24541
Phone (276) 732-1575

600 University Blvd
Harrisonburg, VA 22801

Organizations & group practices 3

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1609161801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LAVINDER ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123520",
            "telephone_number": "276-632-5281",
            "fax_number": "434-836-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAVINDER ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123520",
            "telephone_number": "276-632-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOATCH BAILEY",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206898",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.