Dr Angie Lyn PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DR ANGIE LYN PT

Practice address

33 Bainbridge Way
Pooler, GA 31322-9658

Phone

(845) 825-6460

NPI assigned

Sep 10, 2025

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Agrawal, PT, DPT, OCS, COMTNPI 1780346064

Title

Physical Therapist

Phone

(845) 825-6460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angie Lyn Agrawal

  • Physical Therapist
  • Hilton Head Island, SC
  • NPI 1780346064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1700767316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAINBRIDGE WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BAINBRIDGE WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229658",
            "telephone_number": "845-825-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANGIE LYN PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-825-6460",
        "authorized_official_credential": "PT, DPT, OCS, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawanda C Dixon, MA CCC-SLP
• Beth A Dodds, LMT
• Dogwood Pediatric Dentistry of Pooler, LLC
• Skyler John Doherty, LMT
• Hannah Douglas
• Melissa Carder Dransfield, SLP
• Kathryn E Dresser, APRN
• Kelsey Driggers
• Cheryl Heck Ducey, SLP-CCC
• Devlin Keomie Duckery, AU.D.

• Physical Therapist in Pooler, GA
• Providers in Pooler, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.