Healthcare Provider Details

I. General information

NPI: 1679359442
Provider Name (Legal Business Name): BAILEY SPENCER LOFTIS PT, DPT, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 HUFFMAN MILL RD STE 201
BURLINGTON NC
27215-8789
US

IV. Provider business mailing address

906 MEBANE OAKS RD
MEBANE NC
27302-7951
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-7689
  • Fax: 336-584-8063
Mailing address:
  • Phone: 919-563-1825
  • Fax: 919-563-1833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberLAT-3878
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP22549
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: