Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bailey Alexandra Tadlock, DPT

Individual provider Physical Therapist · NPI 1104570852

Bailey Alexandra Tadlock, DPT is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8470 Falls Of Neuse Rd Ste 100
Raleigh, NC 27615-3550
Phone: (919) 803-0738
Fax: (919) 882-1727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P21072 (NC)
Physical Therapist Taxonomy 225100000X (NC)

Record details

NPI number1104570852
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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