The Bridge Occupational Therapy & Upper Extremity Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT 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

(253) 363-3758

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Charlene Guardia, OTRL, CHTNPI 1033128236

Title

Owner/Practitioner

Phone

(253) 363-3758

Specialties & licenses 1

Addresses

Other identifiers 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

  • Occupational Therapist
  • Gig Harbor, WA
  • NPI 1104200435
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Charlene Guardia, OTR/L,CHT

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

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1548646532",
    "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",
            "telephone_number": "253-363-3758"
        },
        {
            "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": "253-363-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE OCCUPATIONAL THERAPY & UPPER EXTREMITY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "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_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL, CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "OT 00002991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "NPI GROUP 1104200435",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Tepera, M.D.
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• The Bridge Occupational Therapy & Upper Extremity Rehabilitation LLC
• The Hearthstone House
• The Pines Acupuncture LLC
• Stephanie M. Thelen, MA
• Therapy Management Services, PLLC (Source Therapy)
• Thomas V.P. Duffy, DDS, PLLC (Peninsula Family Dentistry)

• Rehabilitation Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Rehabilitation Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.