Active NPI
Kati Bellamy, PT
- Physical Therapist
- Blytheville, AR
National Provider Identifier
1225439680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3818
- Practice address
- 4407 Amarillo St
Blytheville, AR 72315-5702 - Phone
- (870) 532-2229
- Fax
- (870) 532-8237
- NPI assigned
- Sep 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10126R | LA | |
| Physical Therapist | 225100000X | 3818 | AR | Primary |
Addresses
Primary practice location
4407 Amarillo St
Blytheville, AR 72315-5702
Mailing address
4407 Amarillo St
Blytheville, AR 72315-5702
Phone (870) 532-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203524721 | Medicaid | AR |
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 |
|---|---|---|---|
| 3818 | AR | MD | Pediatric Dentist |
| 10126R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomorrows Child Learning Center, LLC | Past | Accepting new patients | |
| Tomorrows Child Learning Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- Blytheville, AR
- NPI 1275744773
-
- Exclusive Provider Organization
- Blytheville, AR
- NPI 1922112390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1225439680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 AMARILLO ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723155702",
"telephone_number": "870-532-2229",
"fax_number": "870-532-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 AMARILLO ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723155702",
"telephone_number": "870-532-2229",
"fax_number": "870-532-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAMY",
"first_name": "KATI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10126R",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "3818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203524721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.