Healthcare Provider Details

I. General information

NPI: 1821881541
Provider Name (Legal Business Name): BAILEY KLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BAILEY KRISTIN KLEIN DPT

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 HATHAWAY RD
NEW BEDFORD MA
02740-1916
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 508-996-6763
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP058041T
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4899
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP054270T
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: