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

Stanley Jefferson Bailey IV, DPT

Individual provider Physical Therapist · NPI 1659010247

Stanley Jefferson Bailey IV, DPT is a Physical Therapist in Private Practice in Charlottesville, Virginia. Qualified in 2022, 4 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
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

229 Connor Dr # 16A
Charlottesville, VA 22911-5604
Phone: (434) 218-1021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1490 Pantops Mountain Pl Ste 202, Charlottesville, VA 22911-4601 — (434) 245-6472

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305215095 (VA)

Record details

NPI number1659010247
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address350 New Fidelity Ct, Garner, NC 27529-2665

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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