RANDAL BAGWELL PT, DPT
NPI 1205662079
Physical Therapist - Orthopedic in Dallas, TX

Active since September 10, 2024Accepts Medicare Assignment
1015 N CARROLL AVE STE 100, DALLAS, TX 75204(214) 887-6580 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randal Bagwell Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDAL BAGWELL PT, DPT (NPI 1205662079) is an individual orthopedic provider in Dallas, Texas and active in the NPI registry since September 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1205662079
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameRANDAL BAGWELLCredential: PT, DPT
Location Address1015 N CARROLL AVE STE 100Dallas, TX 75204-6613
Mailing Address1015 N Carroll Ave Ste 100Dallas, TX 75204-6613 · (214) 887-6580
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
NPI 1205662079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1015 N CARROLL AVE STE 100, Dallas, TX 75204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randal Bagwell Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911473400
PECOS Enrollment IDI20260422000055

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1015 N CARROLL AVE STE 100
DALLAS, TX 75204
Physical Therapist
1015 N CARROLL AVE STE 100
DALLAS, TX 75204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randal Bagwell's NPI number?

The NPI number for Randal Bagwell is 1205662079. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Randal Bagwell located?

Randal Bagwell practices at 1015 N Carroll Ave Ste 100, Dallas, TX 75204. The listed phone number is (214) 887-6580.

What is Randal Bagwell's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Randal Bagwell enrolled in Medicare?

Yes. Randal Bagwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Randal Bagwell was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.