Individual provider Active NPI

Angela Rachel Dargis, DPT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1770956237
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13055 Issued in NC
Practice address
3176 Hickory Ridge Dr
Winston Salem, NC 27127-6795
Phone
(919) 413-4611
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13055 NC Primary

Addresses

Primary practice location

3176 Hickory Ridge Dr
Winston Salem, NC 27127-6795

Mailing address

3176 Hickory Ridge Dr
Winston Salem, NC 27127-6795
Phone (919) 413-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000877 NC Practitioner - Physical Therapist in Private Practice 7315317625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

9420 NC
Suite 150
Clemmons, NC 27012
Phone (336) 895-1293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13055NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Oct 31, 2022 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients
Broad River Rehabilitation Physical Therapist CurrentSince Dec 13, 2025 Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

9420 N NC Hwy 150
Clemmons, NC 27012
Phone (336) 775-2205

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1770956237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 HICKORY RIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276795",
            "telephone_number": "919-413-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 HICKORY RIDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276795",
            "telephone_number": "919-413-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGIS",
        "first_name": "ANGELA",
        "middle_name": "RACHEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.