Avi Bagley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17132 Issued in NC

Practice address

1508 W Innes St
Salisbury, NC 28144-2504

Phone

(704) 630-9656

Fax

(704) 630-9658

NPI assigned

Aug 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Avi PT Limited Liability Company

  • Physical Therapy Clinic/Center
  • Miami Beach, FL
  • NPI 1477227387

  FL, Physical Therapist

  Medicare reassignment NPD Authorized official
• Chief Physical Therapy and Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1730562109

  FL, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972029361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442504",
            "telephone_number": "704-630-9656",
            "fax_number": "704-630-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442504",
            "telephone_number": "704-630-9656",
            "fax_number": "704-630-9658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 N Talbert Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272924143",
            "country_code": "US",
            "telephone_number": "336-236-0597",
            "fax_number": "336-236-1203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "AVI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carlisle Averill, M.D.
• Carol Leather Aycoth, O.D.
• Elaria Ayoub, RDN
• Shanyn L Aysta Isaac, PSY.D.
• B'S Effort Changing Counseling
• Nikita Ramesh Bagrodia, BCBA
• Abigail Jordan Bailey, PA-C
• Atreece Marche' Bailey, MSW, LCSW
• Erin Christina Bailey
• Jordan Bailey, LCSW

• All providers in Salisbury, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.