Healthcare Provider Details

I. General information

NPI: 1295461044
Provider Name (Legal Business Name): BAILEY CHRISTINE ROGERS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 RAINTREE RD STE D
CHESAPEAKE VA
23321-3749
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 757-484-4241
  • Fax: 757-484-4487
Mailing address:
  • Phone: 630-575-6200
  • Fax: 410-648-4878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305215274
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP044038T
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02095100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: