Organization
BRIDGEPORT PHYSICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKSHAYA MAHESH PT, DPT (PHYSICAL THERAPIST)
(312) 375-2802
Entity
Organization
Contact information
Practice address
702 W 31ST ST, CHICAGO, IL 60616-3007
(312) 375-2802
Mailing address
702 W 31ST ST, CHICAGO, IL 60616-3007
(312) 375-2802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/05/2025
Last updated
05/19/2026
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