Colby E Bragdon
Colby E Bragdon is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2235 N Sheffield Ave Rm 120Chicago, IL 60614-6589
Phone: (773) 525-4966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070.025532 (IL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X |
Record details
| NPI number | 1255933545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 11, 2020 |
| Last updated in NPPES | January 25, 2022 |
| Certification date | January 25, 2022 |
| Mailing address | 165 N Canal St Apt 619, Chicago, IL 60606-1525 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Rci (Wrs) Llc — 330 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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