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

Individual provider Physical Therapist · NPI 1679337893

Nicholas Bagwell, DPT is a Physical Therapist in Private Practice in Gardendale, Alabama. Qualified in 2023, 3 years ago. Practices with Therapy South Gardendale LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2024
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

1011 Main St
Gardendale, AL 35071-5401
Phone: (205) 651-4350
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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 PTH11736 (AL)

Record details

NPI number1679337893
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address2823 Greystone Commercial Blvd, Hoover, AL 35242-2660

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Therapy South Gardendale Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gardendale