Bridgid Ellingson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070008179 Issued in IL

Practice address

1636 W Belmont Ave
Chicago, IL 60657-3018

Phone

(773) 755-9214

Fax

(773) 755-9216

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bridgid Rooney Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1942334743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 N CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252112",
            "telephone_number": "773-755-9214",
            "fax_number": "773-755-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573018",
            "telephone_number": "773-755-9214",
            "fax_number": "773-755-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSON",
        "first_name": "BRIDGID",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGID",
            "last_name": "ROONEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Ellena, OTR/L
• Michael Isaac Ellenbogen, M.D.
• Elles Nurturing Nook LLC
• Don Gregory Elligan, PH.D.
• Stephanie Ellinghaus, OT
• Jamie Ellingwood, PA
• Wanda Elliott-Pearson, MD
• Ashley Elliott, CRC, LCPC
• Brianna Elliott, PA-C
• Daniel Scott Elliott, MD, PHD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.