Healthcare Provider Details

I. General information

NPI: 1750209920
Provider Name (Legal Business Name): BRIDGEWAY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 NAPIER RD
LONDON KY
40744-8348
US

IV. Provider business mailing address

112 NAPIER RD
LONDON KY
40744-8348
US

V. Phone/Fax

Practice location:
  • Phone: 606-202-7654
  • Fax: 606-716-8724
Mailing address:
  • Phone: 606-202-7654
  • Fax: 606-716-8724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: BRIDGETT L CHOWNING
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 606-302-3333