Jeffrey Thomas De Bellis, PT, MS, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01023300 Issued in NJ

Practice address

1055 Hamburg Tpke
Wayne, NJ 07470-3235

Phone

(973) 305-0064

Fax

(973) 305-0074

NPI assigned

Sep 16, 2006

Last updated

Jul 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Millennium Physical Therapy II, LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1073674891
  Authorized official Same address or phone
• Pro Motion Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Hackettstown, NJ
  • NPI 1295889467

  Physical Therapist

  NPD (past) Authorized official
• MCRC Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1932154853
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1154427912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076530264",
            "telephone_number": "973-305-0064",
            "fax_number": "973-305-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703235",
            "telephone_number": "973-305-0064",
            "fax_number": "973-305-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BELLIS",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT, MS, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01023300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40QA01023300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID",
            "identifier": "223803579",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dhirendra Nath Das, M.D., F.A.C.C., FACP
• Steven David, M.D.
• Bernard Davidson, RPH
• Kemoy Davidson, LAT, ATC, NREMT
• Dayspring & Macaluso MD's
• Angelina Elizabeth De la Osa, RD
• Deanna Z. Macek, MD, LLC
• Debra L. Rosenzweig, M.D.
• Stephanie Decastro, DPT
• Aleksandra Dedic

• Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.