Individual provider Active NPI

Brandon Bellman, PT, DPT, MS, AT

  • Physical Therapist
  • Grandview Heights, OH
National Provider Identifier
1053819730
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019743 Issued in OH
Practice address
1670 W 1St Ave
Grandview Heights, OH 43212-3302
Phone
(614) 636-3555
NPI assigned
Jan 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT005741 OH
Physical Therapist 225100000X PT019743 OH Primary

Addresses

Primary practice location

1670 W 1St Ave
Grandview Heights, OH 43212-3302

Mailing address

4261 Valley Quail Blvd N
Westerville, OH 43081-3734
Phone (440) 522-4655

Other practice location 1

4261 Valley Quail Blvd N
Westerville, OH 43081-3734
Phone (440) 522-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230322000274 OH Practitioner - Physical Therapist in Private Practice 1557735123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snyder Physical Therapy and Education, LLCGroup PAC ID 6002207453, 2 clinicians

Practice addresses (Care Compare)

1670 W 1St Ave
Columbus, OH 43212-3302
Phone (614) 636-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT019743OHMDPhysical Therapist
AT005741OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Performance Therapy LLC CurrentSince Mar 31, 2024 Accepting new patients
Snyder Physical Therapy & Education, LLC Physical Therapist CurrentSince Jan 31, 2023 Accepting new patients

Locations

4499 Kenny Rd
Columbus, OH 43220

1670 W 1st Ave
Grandview Heights, OH 43212
Phone (614) 636-3555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1053819730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 VALLEY QUAIL BLVD N",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813734",
            "telephone_number": "440-522-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 W 1ST AVE",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123302",
            "telephone_number": "614-636-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4261 Valley Quail Blvd N",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430813734",
            "country_code": "US",
            "telephone_number": "440-522-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLMAN",
        "first_name": "BRANDON",
        "credential": "PT, DPT, MS, AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005741",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.