Maria Bagwell, P.T.
Individual provider Active NPI Physical Therapist · Indian Land, SC
NPI 1043626864 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1043626864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5380 (SC)
- Practice address
- 7580 Charlotte Hwy Ste 500
Indian Land, SC 29707-7809 - Phone
- (803) 548-5662
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5380 | SC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5380 | SC | Yes |
Addresses
Primary practice location
7580 Charlotte Hwy Ste 500
Indian Land, SC 29707-7809
Mailing address
15610 Weeping Valley Dr
Pineville, NC 28134-6454
Other providers in Indian Land, SC
- Christian Jose Alegria
- Daniel Allen
- Steven James Alvarez
- Danielle Marie Andreasen
- Anomaly Bodywork & Wellness Center, LLC
- Margaret Karmen Ball
- Barnett Family Practice
- Dawn K Beatty-Batten
- Benchmark Healthcare Service LLC
- Jaime Bennett
All providers in Indian Land, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.