MEDICARE: WILLIAM BISHOP DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL.0012764	CO
2	225100000X	Physical Therapist	2017018557	MO

General Provider Information

NPI Number	:	1396152070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BISHOP DPT

Provider Business Mailing Address
First Line	:	600 OAKMONT LN
Second Line	:	STE 600C
City	:	WESTMONT
State	:	IL
Zip	:	60559-5548
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	8005 W FLORISSANT AVE STE L
Second Line	:
City	:	JENNINGS
State	:	MO
Zip	:	63136-1452
Country	:	US
Telephone Number	:	314-833-1000
Fax Number	:	314-833-1001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	01/02/2025

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Directions to “ WILLIAM BISHOP DPT” Practice Location

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