WELLBRIDGE PHYSICAL THERAPY (NPI# 1518410059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518410059 |
Entity Type | Organization |
Organization Name | WELLBRIDGE PHYSICAL THERAPY |
Other Organization Name | WELLBRIDGE PHYSICAL THERAPY, LLC |
Practice Address |
29 Crafts St Ste 570 Newton MA 02458-1282 |
Practice Telephone | 6179658070 |
Practice Fax Number | 6179658071 |
Mailing Telephone | 6179658070 |
Mailing Fax Number | 6179658071 |
Enumeration Date | 2016-08-02 |
Last Update Date | 2016-08-02 |
Authorized Official Name | DR. VLADIMIR SHURSKY (PRESIDENT) |
Authorized Official Telephone | 6179658070 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 781 | MA | Other Service Providers |
Other Name | Type Code |
---|---|
Wellbridge Physical Therapy, LLC | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | WELLBRIDGE PHYSICAL THERAPY, LLC | 568 Trapelo Road, Belmont, MA 02478 |
Street Address |
29 CRAFTS ST STE 570 |
City | NEWTON |
State | MA |
Zip Code | 02458-1282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114252806 | Vladimir B Shursky | Physical Therapist | 29 Crafts St Ste 570, Newton, MA 02458-1282 | 2009-10-13 |
1104474543 | Kara Mccormick | Physical Therapist | 29 Crafts St Ste 570, Newton, MA 02458-1282 | 2019-08-29 |
1578111985 | Joshua Jordan | Physical Therapist | 29 Crafts St Ste 570, Newton, MA 02458-1282 | 2019-08-28 |
1326513417 | Claire Louisa Hart | Physical Therapist | 29 Crafts St Ste 570, Newton, MA 02458-1282 | 2018-10-04 |
1922533462 | Daeyou Choi | Physical Therapist | 29 Crafts St Ste 570, Newton, MA 02458-1282 | 2017-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
1114499043 | Anne Irene Vermeulen | Health Educator | 55 Chapel Street, Suite 300, Newton, MA 02458 | 2018-12-17 |
1669957023 | Marla Rutenberg | Social Worker | 4 Cotton Street, Newton, MA 02458 | 2018-10-01 |
1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
1356886485 | Elizabeth Woodruff | Social Worker | 77 Warren St. Building #9, Brighton, MA 02458 | 2016-12-28 |
1346618519 | Jessica Farnsworth Kruss | Counselor | 425 Rear Watertown St., Newton, MA 02458 | 2015-09-04 |
1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
1861830887 | Allison L. Phillips | Social Worker | 64 Eldredge St., Newton, MA 02458 | 2013-06-12 |
Find all providers in zip 02458 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386099638 | Lauren Zeitler | Specialist | 61 Wendell Rd, Newton, MA 02459-2650 | 2016-04-24 |
1790141836 | Jennifer Labonte | Specialist | 154 Langley Rd, Newton, MA 02459-2056 | 2016-01-05 |
1740443712 | Thomas E Jessen Md PC | Specialist | 300 N 4th Ave E Ste 140a, Newton, IA 50208-3122 | 2008-07-09 |
1659586659 | Dorothy L. Norcross | Specialist | 25 Fisher Ave, Newton, MA 02461-1142 | 2007-05-11 |
1710909932 | Karin A O'brien | Specialist | 10 Langley Rd Suite 300, Newton, MA 02459-1972 | 2006-07-24 |
1134189889 | Pediatric House Call PC | Specialist | 56 Winchester St Ste 5, Newton, MA 02461-1730 | 2006-03-26 |
1548236722 | Leonard Charles Marcus | Specialist | 1555 Commonwealth Ave, Newton, MA 02465-2800 | 2006-02-27 |
1699751917 | Louis O Pupo | Specialist | 61 Newton Sparta Road, Newton, NJ 07860 | 2005-12-19 |
1326029166 | Jeffrey Brian Mendel | Specialist | 180 Otis Street, Newton, MA 02465-2524 | 2005-11-09 |
1114915543 | Geeta Sehgal | Specialist | 179 High St, Newton, NJ 07860-1010 | 2005-10-10 |
Find all providers in NEWTON |
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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.