Individual provider Active NPI

Acela Kristina Dee Mortega Belen, RPT

  • Physical Therapist
  • Saipan, MP
National Provider Identifier
1104678911
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0071 Issued in MP
Practice address
Marianas Health LLC Building Suite 102
Ghiyeghi St. San Jose
Saipan, MP 96950-8903
Phone
(670) 233-4646
Fax
(670) 233-4648
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0071 MP Primary

Addresses

Primary practice location

Marianas Health LLC Building Suite 102
Ghiyeghi St. San Jose
Saipan, MP 96950-8903

Mailing address

Pob 10003 PMB 1341
Saipan, MP 96950-8903
Phone (670) 233-4646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510001258 MP Practitioner - Physical Therapist in Private Practice 5597106385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0071MPMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marianas Health Services, Inc CurrentSince Apr 25, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1104678911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 10003 PMB 1341",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARIANAS HEALTH LLC BUILDING SUITE 102",
            "address_2": "GHIYEGHI ST. SAN JOSE",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELEN",
        "first_name": "ACELA KRISTINA DEE",
        "middle_name": "MORTEGA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "0071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.