BESPOKE PHYSICAL THERAPY, WELLNESS AND PERFORMANCE
NPI 1508715756
Physical Therapist in Wildwood, MO
About Bespoke Physical Therapy, Wellness And Performance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BESPOKE PHYSICAL THERAPY, WELLNESS AND PERFORMANCE (NPI 1508715756) is a healthcare organization registered as a physical therapist in Wildwood, Missouri and active in the NPI registry since January 2026. The organization lists Taylor Bushnell, Owner/physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bespoke Physical Therapy, Wellness And Performance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bespoke Physical Therapy, Wellness And Performance, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by Roberta February 27, 2026
5/5Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bespoke Physical Therapy, Wellness And Performance's NPI number?
The NPI number for Bespoke Physical Therapy, Wellness And Performance is 1508715756. It was assigned to this organization in the NPPES registry on January 22, 2026.
Where is Bespoke Physical Therapy, Wellness And Performance located?
Bespoke Physical Therapy, Wellness And Performance is located at 17014 New College Ave Ste D, Wildwood, MO 63040. The listed phone number is (636) 500-7772.
What is Bespoke Physical Therapy, Wellness And Performance's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Bespoke Physical Therapy, Wellness And Performance enrolled in Medicare?
Yes. Bespoke Physical Therapy, Wellness And Performance is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bespoke Physical Therapy, Wellness And Performance?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Bespoke Physical Therapy, Wellness And Performance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bespoke Physical Therapy, Wellness And Performance was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.