Individual provider · Type 1 NPI

Tracey Ly, PA-C

Physician Assistant · Norfolk, VA

NPI number 1356962211 Active

Practice location

600 Gresham Dr Ste 700
Norfolk, VA 23507-1904

Call (757) 388-1700 Map

Fax (423) 826-1290

Mailing address

6275 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2851

Other practice locations

  • 65 W 36th St Fl 11, Office 11-05, New York, NY 10018-7936 · (888) 803-3370
  • 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 · (888) 803-3370
  • 333 1st St Ste A, San Francisco, CA 94105-2661 · (888) 803-3370
  • 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210-6813 · (888) 803-3370

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110009247 (VA)
Physician Assistant 363A00000X58446 (CA)
Physician Assistant 363A00000X031055 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356962211

Tracey Ly, PA-C's National Provider Identifier is 1356962211, issued on May 1, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 20, 2026.