Active NPI
Susan Bellamy, PT
- Physical Therapist
- Ravenna, OH
National Provider Identifier
1063496172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10960
- Practice address
- 533 E Main St
Ravenna, OH 44266-3218 - Phone
- (330) 297-9020
- Fax
- (330) 297-9094
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10960 | OH | Primary |
| Physical Therapist | 225100000X | 10960 | MA | |
| Physical Therapist | 225100000X | 10960 | NY |
Addresses
Primary practice location
533 E Main St
Ravenna, OH 44266-3218
Mailing address
533 E Main St
Ravenna, OH 44266-3218
Phone (330) 297-9020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10960 | Other | OH | OHIO OT PT ATC BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10960 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 10960 | MA | MD | Physical Therapist |
| 10960 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063496172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663218",
"telephone_number": "330-297-9020",
"fax_number": "330-297-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663218",
"telephone_number": "330-297-9020",
"fax_number": "330-297-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAMY",
"first_name": "SUSAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "10960",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10960",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "10960",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO OT PT ATC BOARD",
"identifier": "10960",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.