Michael Bryce Bagby, DPT, PT
NPI 1790598514ActiveIndividual· Physical Therapist· Myrtle Beach, SC
Physical Therapist (DPT, PT) in Myrtle Beach, South Carolina, trained at Wayne State University School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1790598514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, PT |
| Sole proprietor | No |
| NPI issued | Jan 27, 2025 |
| Last updated in NPPES | Mar 17, 2026 |
| Certified by provider | Mar 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 13300 | SC |
| Physical Therapist | 225100000X | PT61655964 | WA |
| Physical Therapist | 225100000X | PT2584 | WY |
| Physical Therapist | 225100000X | 5501303772 | MI |
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 (SC); Practitioner - Physical Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Kitsap Physical Therapy and Sports Clinic Ps IncSilverdale, WA · 138 clinicians
- Orthosc LLCMyrtle Beach, SC · 91 clinicians
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