Active NPI
Michael Bryce Bagby, DPT, PT
- Physical Therapist
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13300
- Practice address
- 210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706 - Phone
- (843) 353-3460
- Fax
- (843) 353-3461
- NPI assigned
- Jan 27, 2025
- Last updated
- Mar 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61655964 | WA | |
| Physical Therapist | 225100000X | PT2584 | WY | |
| Physical Therapist | 225100000X | 5501303772 | MI | |
| Physical Therapist | 225100000X | 13300 | SC | Primary |
Addresses
Primary practice location
210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706
Mailing address
825 Grosse Pointe CT
Grosse Pointe, MI 48230-1278
Phone (313) 605-9366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Wayne State University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Village Ctr Blvd
Suite 200
Myrtle Beach, SC 29579-6706
Phone (843) 353-3460
945 Hildebrand LN NE
Suite 220
Bainbridge Island, WA 98110-2877
Phone (206) 842-6288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303772 | MI | MD | Physical Therapist |
| 13300 | SC | MD | Physical Therapist |
| PT61655964 | WA | MD | Physical Therapist |
| PT2584 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
Locations
945 Hildebrand Ln NE
Ste 220
Bainbridge Island, WA 98110
Phone (206) 842-6288
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
19321 Mountain Hwy E
Ste 100
Spanaway, WA 98387
Phone (253) 846-8126
Organizations & group practices 6
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.
-
- Physical Therapist
- Silverdale, WA
- NPI 1912902347
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Physical Therapist
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Rockwood Clinic
- Internal Medicine Physician
- Spokane, WA
- NPI 1730687161
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1790598514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 GROSSE POINTE CT",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301278",
"telephone_number": "313-605-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD STE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-353-3460",
"fax_number": "843-353-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGBY",
"first_name": "MICHAEL",
"middle_name": "BRYCE",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-27",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61655964",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT2584",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303772",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "13300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.