Bridget Bossong

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

109 Crofton PL
Palmyra, VA 22963-3300

Phone

(434) 589-9588

NPI assigned

Apr 11, 2024

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment Care Compare group NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1417701020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROFTON PL",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229633300",
            "telephone_number": "434-589-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Scottsville Ctr Ste B",
            "address_purpose": "LOCATION",
            "city": "Scottsville",
            "state": "VA",
            "postal_code": "245907001",
            "country_code": "US",
            "telephone_number": "540-437-3556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4290 Ivy Rd",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229037010",
            "country_code": "US",
            "telephone_number": "434-327-5244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Jefferson Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "VA",
            "postal_code": "230936563",
            "country_code": "US",
            "telephone_number": "540-967-1757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Jefferson Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Zion Crossroads",
            "state": "VA",
            "postal_code": "229429604",
            "country_code": "US",
            "telephone_number": "540-832-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSONG",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Marshall Baker, MD
• Heather Ann Barlow, P.T.
• Bates Counseling & Consultation Services LLC
• Lindsay Ann Benson, PT, DPT
• Bodyworks Physical Therapy and Wellness LLC
• Christopher Peter Brancato, B.A,, R.R.T.
• Breastfeeding Blues & Bliss
• Alana Mary Brennan
• Raechel Alexandra Brittain, LCSW
• Candyce Brown, RDH, OMT

• Physical Therapist in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.