Andrew Bagley, PT, DPT, OCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10669 Issued in SC

Practice address

539 Long Point Rd Ste 201
Mount Pleasant, SC 29464-8339

Phone

(843) 595-1055

Fax

(843) 212-4894

NPI assigned

Aug 12, 2017

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Altr Performance & Physical Therapy

  • Orthopedic Physical Therapist
  • Mount Pleasant, SC
  • NPI 1639943756
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1578088316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 TWO OAKS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144824",
            "telephone_number": "843-595-1055",
            "fax_number": "843-212-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 LONG POINT RD STE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648339",
            "telephone_number": "843-595-1055",
            "fax_number": "843-212-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "ANDREW",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Michelle Avera, APRN
• B
• Baby Settler Consulting, LLC
• Theresa Baek, RPH
• Brianna Lynn Bagdasian
• Kristen Bagley, LISW-CP
• Sarah Bagley, OTR/L
• Madison Janemarie Bagwell
• Yuehan Bai, MASSAGE THERAPIST
• Bailey Weightman, DDS, MSD, LLC

• Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.