Healthcare Provider Details

I. General information

NPI: 1992620819
Provider Name (Legal Business Name): BAILEY JULIAN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 LINCOLN WAY
WHITE OAK PA
15131-1721
US

IV. Provider business mailing address

246 JACOBS WAY
GREENSBURG PA
15601-4971
US

V. Phone/Fax

Practice location:
  • Phone: 412-664-9008
  • Fax: 412-664-9234
Mailing address:
  • Phone: 724-309-3353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034496
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: