Individual provider Active NPI

Bridget Brennan Webb I, PT, DPT

  • Geriatric Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1811712730
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
2002007086 Issued in MO
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

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20051123000289 MO Practitioner - Physical Therapist in Private Practice 3072533835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002007086MOMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JDV Physical Therapy LLC Geriatrics CurrentSince Mar 31, 2025 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.

Verify at the official NPI Registry.