Provider Demographics
NPI:1780694976
Name:BAILEY, GREGORY A (PT)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:A
Last Name:BAILEY
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2564
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-362-8684
Practice Address - Street 1:610 N FAYETTEVILLE ST
Practice Address - Street 2:STE 201
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4670
Practice Address - Country:US
Practice Address - Phone:803-547-9940
Practice Address - Fax:803-547-9942
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL070-141111225100000X
SC7324225100000X
NCP14949225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist