Bruce Chester Southwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6492 Issued in OH

Practice address

7617 Sylvania Ave
Sylvania, OH 43560-9517

Phone

(419) 843-1402

Fax

(419) 843-1407

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Point Rehabilitation LLCGroup PAC ID 3577651223, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• East Point Rehabilitation LLC

  • Physical Therapist
  • Oregon, OH
  • NPI 1992991574
  Medicare reassignment Care Compare group NPD
• Healtherapy Partners Inc

  • Physical Medicine & Rehabilitation Physician
  • Toledo, OH
  • NPI 1568453355

  Physical Therapist

  NPD (past)
• Oak Openings Physical Therapy LP

  • Physical Therapy Clinic/Center
  • Sylvania, OH
  • NPI 1144249897
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831133719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 SYLVANIA AVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609517",
            "telephone_number": "419-843-1402",
            "fax_number": "419-843-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 SYLVANIA AVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609517",
            "telephone_number": "419-843-1402",
            "fax_number": "419-843-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWELL",
        "first_name": "BRUCE",
        "middle_name": "CHESTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "20372143500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.