Active NPI
Adesola O Bello, MOT OTR/L
- Physical Rehabilitation Occupational Therapist
- Dolton, IL
National Provider Identifier
1063985174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 056.010330
- Practice address
- 15325 Dante Ave
Dolton, IL 60419 - Phone
- (773) 616-3355
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 056.010330 | IL | Primary |
Addresses
Primary practice location
15325 Dante Ave
Dolton, IL 60419
Mailing address
15325 Dante Ave
Dolton, IL 60419
Phone (773) 616-3355
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 |
|---|---|---|---|
| 056.010330 | IL | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1063985174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15325 DANTE AVE",
"city": "DOLTON",
"state": "IL",
"postal_code": "60419",
"telephone_number": "773-616-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15325 DANTE AVE",
"city": "DOLTON",
"state": "IL",
"postal_code": "60419",
"telephone_number": "773-616-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "ADESOLA",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "MOT OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IL",
"license": "056.010330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dolton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.