BRIDGET L PETTYJOHN
NPI 1790529386
Prosthetic/Orthotic Supplier in Charlotte, NC

Q: What is Bridget Pettyjohn's NPI number?

The NPI number for Bridget Pettyjohn is 1790529386. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Bridget Pettyjohn's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Bridget Pettyjohn was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 19, 2024

6120 BROOKSHIRE BLVD STE W, CHARLOTTE, NC 28216(704) 320-1463 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bridget L Pettyjohn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGET L PETTYJOHN (NPI 1790529386) is an individual prosthetic/orthotic supplier provider in Charlotte, North Carolina and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1790529386

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameBRIDGET L PETTYJOHN

Location Address6120 BROOKSHIRE BLVD STE WCharlotte, NC 28216-3300

Mailing Address3821 Port Richmond AveGastonia, NC 28056-6238 · (704) 320-1463

Phone(704) 320-1463

Sole ProprietorYes

Enumeration DateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1790529386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

6120 BROOKSHIRE BLVD STE W, Charlotte, NC 28216

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMORE NICHOLE JACKSON

Developmental Therapist

6120 BROOKSHIRE BLVD STE W
CHARLOTTE, NC 28216

Mecklenburg County (980) 251-5899

Frequently 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 Bridget Pettyjohn's NPI number?

The NPI number for Bridget Pettyjohn is 1790529386. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Bridget Pettyjohn located?

Bridget Pettyjohn practices at 6120 Brookshire Blvd Ste W, Charlotte, NC 28216. The listed phone number is (704) 320-1463.

What is Bridget Pettyjohn's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Bridget Pettyjohn was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.