Individual provider Active NPI

Andrea Bagley Stokes, PT

  • Physical Therapist
  • Clemson, SC
National Provider Identifier
1912474792
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
500-1 Old Greenville Hwy # 1
Clemson, SC 29631
Phone
(864) 722-6037
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 Primary

Addresses

Primary practice location

500-1 Old Greenville Hwy # 1
Clemson, SC 29631

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Andrea Katherine Bagley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320000081 SC Practitioner - Physical Therapist in Private Practice 6406196971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Rehabilitation Specialists LLCGroup PAC ID 1951311208, 7 clinicians

Practice addresses (Care Compare)

1514 E Alexander Love Hwy
Suite 116
York, SC 29745-7770
Phone (803) 628-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integrated Therapy Centers, LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 7, 2019 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Feb 7, 2019 Accepting new patients
Palmetto Rehabilitation Specialists, LLC Physical Therapist CurrentSince Sep 22, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023

105 Ben Casey Dr
Ste 127
Fort Mill, SC 29708
Phone (803) 448-3200

1007 Grove Rd
#A
Greenville, SC 29605

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

1514 Alexander Love Hwy E
Ste 116
York, SC 29745
Phone (803) 628-2220

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1912474792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500-1 OLD GREENVILLE HWY # 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "29631",
            "telephone_number": "864-722-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "ANDREA",
        "middle_name": "BAGLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BAGLEY",
            "middle_name": "KATHERINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.