Jessica Bellis, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8677-26 Issued in WI

Practice address

3113 W Beltline Hwy Ste 300
Madison, WI 53713-2934

Phone

(608) 819-6810

Fax

(608) 819-6811

NPI assigned

Jul 23, 2024

Sole proprietor

No

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.

• KGH Consultation & Treatment, Inc.

  • Behavior Analyst
  • Deerfield, IL
  • NPI 1073840740
  NPD OCCUPATIONAL THERAPIST

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2024.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1245068113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155649",
            "telephone_number": "847-498-5437",
            "fax_number": "847-498-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 W BELTLINE HWY STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132934",
            "telephone_number": "608-819-6810",
            "fax_number": "608-819-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIS",
        "first_name": "JESSICA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "8677-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sellers C. Bell
• Frank Bellamia
• Avani Anand Bellary, DO
• Marc A Bellazzini, MD
• Thomas G Bellehumeur, MD
• Bridget Louise Bellissimo, PA-C
• Joseph A Bellissimo, MD
• Patricia L. Bellissimo, MD
• Marissa Grace Bello, DPT
• Teresa Bellrichard, APSW

• All providers in Madison, WI
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.