Active NPI
Christopher Robert Bellucci, OTR/L
- Occupational Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R5546
- Practice address
- 4130 Dutchmans LN Ste 101
Louisville, KY 40207-4708 - Phone
- (502) 897-1794
- Fax
- (502) 897-3852
- NPI assigned
- Apr 24, 2013
- Last updated
- Aug 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31007089A | IN | |
| Occupational Therapist | 225X00000X | R5546 | KY | Primary |
Addresses
Primary practice location
4130 Dutchmans LN Ste 101
Louisville, KY 40207-4708
Mailing address
4130 Dutchmans LN Ste 300
Louisville, KY 40207-4710
Phone (502) 897-1794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30006426 | Medicaid | IN | |
| 7100377600 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
2125 State St
Suite 2
New Albany, IN 47150-4972
Phone (812) 949-6360
2400 Eastpoint Pkwy
Suite 120
Louisville, KY 40223-4154
Phone (502) 253-6689
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Associates Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Occupational Therapist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1425 State St
Ste 100
New Albany, IN 47150
Phone (812) 945-2229
1425 State St
Ste 201
New Albany, IN 47150
2125 State St
Ste 2
New Albany, IN 47150
Phone (812) 948-2947
2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4130 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 897-1790
4130 Dutchmans Ln
Ste 200
Louisville, KY 40207
Phone (502) 238-7293
4130 Dutchmans Ln
Ste 300
Louisville, KY 40207
Interoperability endpoints
- chris.bellucci.1@25506.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
IN, Occupational Therapist
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Baptist Neuroscience Associates
- Neurology Physician
- Louisville, KY
- NPI 1386872471
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1285078840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074710",
"telephone_number": "502-897-1794",
"fax_number": "502-897-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074708",
"telephone_number": "502-897-1794",
"fax_number": "502-897-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLUCCI",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31007089A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R5546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006426",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100377600",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.