- Practice location
- 600 Gresham Dr Ste 700, Norfolk, VA 23507-1904
- Phone
- 757-388-1700
- Fax
- 423-826-1290
- Last updated
- April 20, 2026
Tracey Ly is a Physician Assistant based in Norfolk, VA. Tracey Ly practices in Norfolk, VA and has the professional credentials of PA-C. The NPI Number for Tracey Ly is 1356962211 and holds a License No. 0110009247 (VA). The current practice location address for Tracey Ly is 600 Gresham Dr Ste 700, Norfolk, VA 23507-1904 and can be reached out via phone at 757-388-1700 and via fax at 423-826-1290.
Provider Profile Details
- NPI Number
- 1356962211
- Provider Name
- Tracey Ly
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 600 Gresham Dr Ste 700, Norfolk, VA 23507-1904
- Phone Number
- 757-388-1700
- Fax Number
- 423-826-1290
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2020
- Last Update Date
- April 20, 2026
- Certification Date
- April 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 Gresham Dr Ste 700
Norfolk, VA 23507-1904 - City
- Norfolk
- State
- Virginia
- Zip
- 23507-1904
- Phone Number
- 757-388-1700
- Fax Number
- 423-826-1290
Provider Business Mailing Address Details
- Address
- 6275 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2851 - City
- Norfolk
- State
- VA
- Zip
- 23502-2851
- Phone Number
- 757-466-0089
- Fax Number
- 757-466-8017
License Information
- License Number (1)
- 0110009247
- License State (1)
- VA
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 58446
- License State (2)
- CA
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 031055
- License State (3)
- NY
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tracey Ly, PA-C?
The NPI number of Tracey Ly, PA-C is 1356962211. It was assigned on May 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Tracey Ly, PA-C?
Tracey Ly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VA under license number 0110009247.
Where does Tracey Ly, PA-C practice?
The practice location is 600 Gresham Dr Ste 700, Norfolk, VA 23507-1904. The office can be reached at 757-388-1700 (phone) or 423-826-1290 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356962211 directly on the NPPES registry website.