Stanley Jefferson Bailey IV, DPT
Individual provider Active NPI Physical Therapist · Charlottesville, VA
NPI 1659010247 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1659010247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305215095 (VA)
- Practice address
- 229 Connor Dr # 16a
Charlottesville, VA 22911-5604 - Phone
- (434) 218-1021
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tidewater Physical Therapy LLC
Practice addresses (Care Compare)
229 Connor Dr
16A
Charlottesville, VA 22911-5604
Phone (434) 218-1021
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221018003287 | VA | Practitioner - Physical Therapist in Private Practice | 5890161723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
229 Connor Dr
#16A
Charlottesville, VA 22911
Phone (434) 218-1021
1490 Pantops Mountain Pl
Ste 202
Charlottesvle, VA 22911
Phone (434) 245-6472
15331 Creativity Dr
Ste 960
Culpeper, VA 22701
Phone (540) 317-0888
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305215095 | VA | Yes |
Addresses
Primary practice location
229 Connor Dr # 16a
Charlottesville, VA 22911-5604
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919
Other practice location 1
1490 Pantops Mountain Pl Ste 202
Charlottesville, VA 22911-4601
Phone (434) 245-6472
Other providers in Charlottesville, VA
- Deveryn Bailey
- Elaine T Bailey
- Emily W. Bailey
- Pamela K. Bailey
- Russell C Bailey
- Victoria Bailey
- Louisa B Bair
- Adam Spencer Baird
- Henry Baird
- Steven Travis Baisden
All providers in Charlottesville, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.