Bridgid Marie Mahan, PT, DPT, OCS,SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004050 Issued in KY

Practice address

6008 Brownsboro Park Blvd
Suite C
Louisville, KY 40207-1295

Phone

(502) 899-4760

Fax

(502) 899-4719

NPI assigned

Jul 14, 2006

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omspt Holdings LLCGroup PAC ID 1850789066, 13 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omspt Holdings LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1801561592
  Medicare reassignment Care Compare group NPD
• Orthopaedic Motion & Sport Physical

  • Physical Therapist
  • Louisville, KY
  • NPI 1881786705
  Authorized official Same address or phone
• Omspt Holdings LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1962193482
  NPD
• Omspt Holdings LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1194485367
  NPD (past)
• Omspt Holdings LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1790445062
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1962428698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 BROWNSBORO PARK BLVD",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071295",
            "telephone_number": "502-899-4760",
            "fax_number": "502-899-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 BROWNSBORO PARK BLVD",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071295",
            "telephone_number": "502-899-4760",
            "fax_number": "502-899-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "BRIDGID",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, OCS,SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "004050",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "KY",
            "license": "004050",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "205097932",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000505134",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Michael Maguire, M.D.
• Catherine M Mahady
• Edith Mahaffey
• Janice C Mahaffey, APRN
• Angela L Mahan, MD
• Meghan McMillin Mahan, M.S., CCC-SLP
• Kayla Nicole Mahasena
• Rachel Michelle Mahbubani
• Arti Maher, PHARMD
• Lisa Faye Maher, APRN-NA

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.