Healthcare Provider Details

I. General information

NPI: 1427853415
Provider Name (Legal Business Name): BRIDGE REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

IV. Provider business mailing address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

V. Phone/Fax

Practice location:
  • Phone: 413-225-4997
  • Fax: 833-941-2303
Mailing address:
  • Phone: 413-225-2792
  • Fax: 833-941-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEAN W SINGER
Title or Position: CEO
Credential: DO
Phone: 413-225-4997