Andrew Bagley, PT, DPT, OCS, ATC | |
104 Mallory Dr, Goose Creek, SC 29445-6406 | |
(864) 275-0740 | |
(843) 808-6986 |
Full Name | Andrew Bagley |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 104 Mallory Dr, Goose Creek, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578088316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10669 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Personal Performance | 3870902422 | 2 |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796 |
Provider Name | Personal Performance |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366024556 PECOS PAC ID: 3870902422 Enrollment ID: O20211109001304 |
Provider Name | Centrum Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396455515 PECOS PAC ID: 1557733268 Enrollment ID: O20230206002912 |
Mailing Address | Practice Location Address |
---|---|
Andrew Bagley, PT, DPT, OCS, ATC Po Box 1119, Goose Creek, SC 29445-1119 Ph: (864) 993-6304 | Andrew Bagley, PT, DPT, OCS, ATC 104 Mallory Dr, Goose Creek, SC 29445-6406 Ph: (864) 275-0740 |
Nathaniel Kevin Prater, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Mallory Dr, Goose Creek, SC 29445 Phone: 864-993-6304 Fax: 843-808-6986 | |
Emily Sage Carrell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 209 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466 | |
Tori Lynn Darling, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Naval Nuclear Training Command Circle, Goose Creek, SC 29445 Phone: 843-794-6400 Fax: 438-794-6997 | |
Jeffrey Thomas Noelcke, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466 | |
Joseph Styron, Physical Therapist Medicare: Medicare Enrolled Practice Location: 514 Saint James Ave Unit G, Goose Creek, SC 29445 Phone: 843-642-8660 | |
Dr. Caleb S Nobles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Nnptc Cir, Goose Creek, SC 29445 Phone: 843-818-2944 Fax: 843-579-2738 | |
Jessica A Lyons, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 Blossom St, Goose Creek, SC 29445 Phone: 843-469-1400 |