Healthcare Provider Details

I. General information

NPI: 1679481139
Provider Name (Legal Business Name): CAMRYN GRACE BAILEY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 NAT TURNER BLVD S
NEWPORT NEWS VA
23606-3074
US

IV. Provider business mailing address

155 DWYER DR
GENEVA NY
14456-9754
US

V. Phone/Fax

Practice location:
  • Phone: 757-596-1900
  • Fax: 866-420-0168
Mailing address:
  • Phone: 315-521-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305218036
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: