Active NPI
Peter Owen Bellew, P.T.
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1164431334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7176
- Practice address
- 2222 S Dobson Rd
Suite 305
Mesa, AZ 85202-6481 - Phone
- (480) 838-5553
- Fax
- (480) 838-3347
- NPI assigned
- Aug 6, 2006
- Last updated
- Dec 23, 2007
- 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 Therapist | 225100000X | 7176 | AZ | Primary |
Addresses
Primary practice location
2222 S Dobson Rd
Suite 305
Mesa, AZ 85202-6481
Mailing address
PO Box 40192
Mesa, AZ 85274-0192
Phone (602) 430-2128
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 |
|---|---|---|---|
| 7176 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198368000000",
"number": "1164431334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40192",
"city": "MESA",
"state": "AZ",
"postal_code": "852740192",
"telephone_number": "602-430-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S DOBSON RD",
"address_2": "SUITE 305",
"city": "MESA",
"state": "AZ",
"postal_code": "852026481",
"telephone_number": "480-838-5553",
"fax_number": "480-838-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLEW",
"first_name": "PETER",
"middle_name": "OWEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-06",
"last_updated": "2007-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.