Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Bagwell, DPT

Individual provider Physical Therapist · NPI 1710903893

Mr. Charles Bagwell, DPT is a Physical Therapist in Private Practice in Yorba Linda, California. Graduated from University of Southern California Keck School of Medicine in 1999, 27 years ago. Practices with Innovative Wellness Solutions Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

19768 Yorba Linda Blvd
Yorba Linda, CA 92886-2801
Phone: (714) 693-0460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT24597 (CA)

Record details

NPI number1710903893
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 29, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Innovative Wellness Solutions Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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