Wellbridge Physical Therapy, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLBRIDGE PHYSICAL THERAPY, LLC

Practice address

48 Constitution Dr
Bedford, NH 03110-6096

Phone

(781) 354-5196

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vladimir Benjamin Shursky, DPTNPI 1114252806

Title

President/Physical Therapist

Phone

(603) 488-5808

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Tax ID family

Wellbridge Physical Therapy2 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.

• Wellbridge Physical Therapy

  • Specialist
  • Newton, MA
  • NPI 1518410059
  NPD tax ID

Locations

Practitioners 5

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

• Vladimir B Shursky, DPT

  • Physical Therapist
  • Newton, MA
  • NPI 1114252806

  NH

  Medicare reassignment Care Compare group Authorized official
• Allison Demaria, OT

  • Occupational Therapist
  • Manchester, NH
  • NPI 1194375287
  Medicare reassignment Care Compare group NPD
• Jessica Elia Shursky, DPT

  • Contractor
  • Newton, MA
  • NPI 1851630529

  NH

  Medicare reassignment Care Compare group
• Allison Nicole Lamb, PT, DPT

  • Physical Therapist
  • Needham Heights, MA
  • NPI 1134604531
  Medicare reassignment NPD
• Eric Wilcox, DPT

  • Orthopedic Physical Therapist
  • Bedford, NH
  • NPI 1174219729
  NPD

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1407291487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106096",
            "telephone_number": "781-354-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106096",
            "telephone_number": "781-354-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBRIDGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "SHURSKY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-488-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110097752A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vladimir@wellbridgephysicaltherapy.com",
            "affiliation": "N",
            "address_1": "48 Constitution Dr",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vladimir@wbptnh.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "48 Constitution Dr",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda E. Weber, PT
• Jennifer W Weidner, MD
• Andrea Weilbrenner
• Jackson Mitchell Weinbeck, B.A.
• Lisa Weldon, PMH-NP
• Wellspring Dental of Bedford, LLC
• Patricia Wenrich Maynard, MSW, LICSW
• Joshua West
• Shannon L Wheaton, PT
• Sarah Wheeler, FNP

• Multi-Specialty Clinic/Center in Bedford, NH
• Providers in Bedford, NH by specialty
• Multi-Specialty Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.