Active NPI
Bridget Brennan Webb I, PT, DPT
- Geriatric Physical Therapist
- Saint Louis, MO
National Provider Identifier
1811712730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2002007086
- Practice address
- 3809 Lemay Ferry Rd
Saint Louis, MO 63125-4535 - Phone
- (314) 939-1377
- NPI assigned
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2002007086 | MO | Primary |
Addresses
Primary practice location
3809 Lemay Ferry Rd
Saint Louis, MO 63125-4535
Mailing address
10278 Eddingham Ter
Saint Louis, MO 63128-2618
Phone (314) 221-1659
Other practice location 1
10278 Eddingham Ter
Saint Louis, MO 63128-2618
Phone (314) 221-1659
Other practice location 2
12101 Woodcrest Executive Dr
Saint Louis, MO 63141-5016
Phone (314) 218-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002007086 | MO | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDV Physical Therapy LLC | Geriatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1811712730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10278 EDDINGHAM TER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282618",
"telephone_number": "314-221-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 LEMAY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631254535",
"telephone_number": "314-939-1377"
}
],
"practiceLocations": [
{
"address_1": "10278 Eddingham Ter",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282618",
"country_code": "US",
"telephone_number": "314-221-1659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12101 Woodcrest Executive Dr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631415016",
"country_code": "US",
"telephone_number": "314-218-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBB",
"first_name": "BRIDGET",
"middle_name": "BRENNAN",
"name_suffix": "I",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MO",
"license": "2002007086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.