Laura Jane Bagwell
NPI 1730632555ActiveIndividual· Physical Therapist· Garner, NC
Physical Therapist with Tidewater Physical Therapy LLC and 1 other group, practicing in Garner, North Carolina. Medicare paid $26,883 for services to 58 patients in 2024.
Overview
| NPI | 1730632555 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 28, 2016 |
| Last updated in NPPES | Jun 24, 2025 |
| Certified by provider | Jun 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P24080 | NC |
| Physical Therapist | 225100000X | 2305210453 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 1,351 across 11 procedure codes |
| Paid by Medicare | $26,883 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Tidewater Physical Therapy LLCMidlothian, VA · 253 clinicians
- Activcare Physical Therapy, LLCClayton, NC · 123 clinicians
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