Bridgeport Physical Wellness LLC
NPI 1679443600 · Physical Therapist · Chicago, IL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgeport Physical Wellness LLC is a Physical Therapist organization in Chicago, IL (NPI 1679443600).
Provider details
- NPI number
- 1679443600
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Akshaya Mahesh, Physical Therapist(312) 375-2802
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-05
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Bridgeport Physical Wellness LLC's NPI number?
- Bridgeport Physical Wellness LLC's National Provider Identifier (NPI) is 1679443600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Physical Wellness LLC?
- Bridgeport Physical Wellness LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bridgeport Physical Wellness LLC located?
- Bridgeport Physical Wellness LLC's practice location on file with NPPES is 702 W 31st St, Chicago, IL 60616-3007.
- What is Bridgeport Physical Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Physical Wellness LLC is (312) 375-2802.
- Does Bridgeport Physical Wellness LLC accept Medicare?
- Bridgeport Physical Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bridgeport Physical Wellness LLC?
- The authorized official listed on Bridgeport Physical Wellness LLC's NPPES record is Akshaya Mahesh, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Physical Wellness LLC's NPI active?
- Yes — Bridgeport Physical Wellness LLC's NPI (1679443600) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.