Billie Joelle Agan, PTA, CPT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004521 Issued in GA

Practice address

4 Hazel Ave
Naugatuck, CT 06770-4706

Phone

(203) 723-1456

NPI assigned

Mar 9, 2021

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1821683038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CORINTH POSEYVILLE RD",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301103118",
            "telephone_number": "770-312-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAZEL AVE",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704706",
            "telephone_number": "203-723-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAN",
        "first_name": "BILLIE",
        "middle_name": "JOELLE",
        "name_prefix": "Ms.",
        "credential": "PTA, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "2156",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Orthopedic Therapy PC
• Acuity House Call
• Aida Adams, LCSW
• Aylin Adem, OD
• Affinity Care Hospice LLC
• Esther Blessed Agyemang, APRN
• Lucy O Ajila, PHARMD
• Align Motion LLC
• All About You Collaborative Health Care Services.LLC (D.B.a.)
• Alicia Carol Almeida, DMD

• Physical Therapy Assistant in Naugatuck, CT
• Providers in Naugatuck, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.