The Bridge Occupational Therapy & Upper Extremity Rehabilitation LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00002991 Issued in WA

Legal business name

THE BRIDGE OCCUPATIONAL THERAPY & UPPER EXTREMITY REHABILITATION LLC

Practice address

5401 32ND Ave NW Ste 104
Gig Harbor, WA 98335-6308

Phone

(252) 363-3758

NPI assigned

Jul 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Charlene Guardia, OTR/L, CHTNPI 1033128236

Title

Owner/Practitioner

Phone

(253) 363-3758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

The Bridge O T and Upper Extremity Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Bridge Occupational Therapy & Upper Extremity Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Gig Harbor, WA
  • NPI 1548646532
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Charlene Guardia, OTR/L,CHT

  • Hand Occupational Therapist
  • Gig Harbor, WA
  • NPI 1033128236
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1104200435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 32ND AVE NW STE 104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 32ND AVE NW STE 104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356308",
            "telephone_number": "252-363-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE OCCUPATIONAL THERAPY & UPPER EXTREMITY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "GUARDIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "253-363-3758",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00002991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marie Tejeda, LMP
• Christopher Tepera, M.D.
• Teresa Collett, LLC.
• TH Hospital Group LLC
• The Bartell Drug Co
• The Bridge Occupational Therapy & Upper Extremity Rehabilitation LLC
• The Hearthstone House
• The Pines Acupuncture LLC
• Stephanie M. Thelen, MA
• Therapy Management Services, PLLC

• Occupational Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.