Individual provider Active NPI

Angie Lyn Agrawal

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1780346064
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12827 Issued in SC
Practice address
1536 Fording Island Rd Ste 105
Hilton Head Island, SC 29926-1144
Phone
(843) 837-2080
Fax
(843) 837-2081
NPI assigned
Oct 13, 2021
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12827 SC Primary
Physical Therapist 225100000X 40QA02056300 NJ

Addresses

Primary practice location

1536 Fording Island Rd Ste 105
Hilton Head Island, SC 29926-1144

Mailing address

8 Hospital Center Blvd
Hilton Head Island, SC 29926-8700
Phone (843) 671-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211111002455 NJ Practitioner - Physical Therapist in Private Practice 9335538388 Reassigns benefits to 1 organization
I20250731002918 SC Practitioner - Physical Therapist in Private Practice 9335538388 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02056300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Nov 18, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Nov 18, 2021 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Dr Angie Lyn PT Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Ash Services PastSince Nov 30, 2025 Accepting new patients

Locations

440 Old Hook Rd
Emerson, NJ 07630
Phone (201) 265-4400

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

576 Broadhollow Rd
Melville, NY 11747

8 Hospital Ctr
Ste 250
Hilton Head Island, SC 29926
Phone (843) 671-7342

6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

Organizations & group practices 7

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1780346064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299268700",
            "telephone_number": "843-671-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 FORDING ISLAND RD STE 105",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261144",
            "telephone_number": "843-837-2080",
            "fax_number": "843-837-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "ANGIE",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12827",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02056300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.