Physical Therapist
BESPOKE PHYSICAL THERAPY, WELLNESS AND PERFORMANCE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508715756 · enumerated 2026-01-22 · record updated 2026-01-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TAYLOR BUSHNELL DPT, Owner/Physical Therapist · (636) 500-7772
Addresses and phones
- Practice location 17014 NEW COLLEGE AVE STE D, WILDWOOD, MO, 63040-1177 (636) 500-7772 Google Maps Apple Maps OpenStreetMap
- Mailing address 17014 NEW COLLEGE AVE STE D, WILDWOOD, MO, 63040-1177 (636) 500-7772 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
-
Practice location
WILDWOOD, MO, 630401177
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.