Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridgeport Physical Wellness LLC

Organization Physical Therapist · NPI 1679443600

Bridgeport Physical Wellness LLC is a Physical Therapist in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

702 W 31st St
Chicago, IL 60616-3007
Phone: (312) 375-2802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1679443600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Akshaya Mahesh — Physical Therapist · (312) 375-2802
NPI enumeratedNovember 5, 2025
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address702 W 31st St, Chicago, IL 60616-3007

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