BRIDGE STREET PHYSICAL THERAPY LLC (NPI# 1124393392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124393392 |
| Entity Type | Organization |
| Organization Name | BRIDGE STREET PHYSICAL THERAPY LLC |
| Practice Address |
215 S Bridge St Sheridan OR 97378-1807 |
| Practice Telephone | 5038437617 |
| Practice Fax Number | 5038437618 |
| Mailing Telephone | 5038437617 |
| Mailing Fax Number | 5038437618 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | MR. ROBERT L THORNBURG (PHYSICAL THERAPIST/MANAGER) |
| Authorized Official Telephone | 5038437617 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0495 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGE STREET PHYSICAL THERAPY LLC | 215 S Bridge St, Sheridan, OR 97378 |
| Street Address |
215 S BRIDGE ST |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154383321 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-04-04 |
| 1407966146 | Robert Thornburg | Physical Therapist | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| Find all providers in zip 97378 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414875 | Goose Creek Dental Clinic | Clinic/Center | 642 Val Vista St Ste B, Sheridan, WY 82801-3660 | 2018-07-25 |
| 1568905230 | Sheridan Health Center, Inc | Clinic/Center | 31 E Whitney, Sheridan, WY 82801-4742 | 2016-11-29 |
| 1518140375 | Hugh Batty Md PC | Clinic/Center | 1262 W 5th St, Sheridan, WY 82801-2702 | 2007-12-14 |
| 1174646376 | Child Development Center Region 2 | Clinic/Center | 345 S Linden Ave, Sheridan, WY 82801-4709 | 2007-04-10 |
| 1528167905 | Butte Silver Bow Primary Health Care Clinic | Clinic/Center | 317 Madison, Sheridan, MT 59749-0245 | 2006-09-21 |
| 1679043756 | Sisterhood Sanctuary, LLC | Clinic/Center | 110 S Gould St, Sheridan, WY 82801-6321 | 2018-11-30 |
| 1376019000 | Cottonwood Healthcare, Inc. | Clinic/Center | 304 Coffeen Ave Ste B, Sheridan, WY 82801-4803 | 2018-10-20 |
| 1386155406 | Cedars Health | Clinic/Center | 813 Highland Ave, Sheridan, WY 82801-2729 | 2017-10-16 |
| 1134407356 | Goose Creek Family Practice, P.C. | Clinic/Center | 304 Coffeen Ave, Suite A, Sheridan, WY 82801-4803 | 2011-07-22 |
| 1982870697 | Robbins Dermatology, P.C. | Clinic/Center | 206 N Brooks St, Sheridan, WY 82801-3801 | 2008-05-02 |
| Find all providers in SHERIDAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.