Active NPI
Michael Bagnoli, PT
- Physical Therapist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6487
- Practice address
- 3200 Northline Ave
Ste 160
Greensboro, NC 27408-7616 - Phone
- (336) 545-5000
- Fax
- (336) 545-5020
- NPI assigned
- Nov 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6487 | NC | Primary |
Addresses
Primary practice location
3200 Northline Ave
Ste 160
Greensboro, NC 27408-7616
Mailing address
PO Box 38008
Greensboro, NC 27438-8008
Phone (336) 545-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Louisville School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
3200 Northline Ave
Suite 200
Greensboro, NC 27408-7602
Phone (336) 545-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6487 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients | |
| Madtes Aughenbaugh Physical Therapy Services | Past | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
3200 Northline Ave
Ste 200
Greensboro, NC 27408
Phone (336) 544-3905
3200 Northline Ave
Ste 160
Greensboro, NC 27408
Phone (336) 545-3530
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Interoperability endpoints
- michael.bagnoli.1@847.direct.athenahealth.com
Organizations & group practices 3
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.
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- NPI 1609857796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1972584076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38008",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274388008",
"telephone_number": "336-545-5000",
"fax_number": "336-545-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE",
"address_2": "STE 160",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087616",
"telephone_number": "336-545-5000",
"fax_number": "336-545-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGNOLI",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.