Bridge Pt, Llc | |
129 3rd Ave, Chesapeake, OH 45619-1140 | |
(304) 544-5299 | |
(740) 422-0516 |
Full Name | Bridge Pt, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 129 3rd Ave, Chesapeake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023644432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Jared Roy Blankenship |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447337969 PECOS PAC ID: 3678895984 Enrollment ID: I20200505003050 |
Provider Name | Kyle H Webb |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518537968 PECOS PAC ID: 2466854229 Enrollment ID: I20210715003059 |
Provider Name | Erin Bass Petty |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1295347094 PECOS PAC ID: 1557740719 Enrollment ID: I20221229002105 |
Mailing Address | Practice Location Address |
---|---|
Bridge Pt, Llc Po Box 24, Chesapeake, OH 45619-0024 Ph: (740) 550-4128 | Bridge Pt, Llc 129 3rd Ave, Chesapeake, OH 45619-1140 Ph: (304) 544-5299 |
Kyle Hunter Webb, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 129 3rd Ave, Chesapeake, OH 45619 Phone: 740-550-4128 Fax: 740-422-0516 |