Nathaniel Belliot, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24760 Issued in FL

Practice address

730 NE 3Rd Ave Apt 7
Fort Lauderdale, FL 33304-2669

Phone

(954) 646-6363

NPI assigned

Aug 1, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bodies on the Move Fitness and Wellness

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1053159202
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1285464669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NE 3RD AVE APT 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042669",
            "telephone_number": "954-646-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NE 3RD AVE APT 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042669",
            "telephone_number": "954-646-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIOT",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belle Medical Group of Michigan PC
• Belle Medical Group of Minnesota PC
• Belle Medical Group of Missouri PC
• Belle Medical Group of Ohio P.C.
• Belle Medical Group of Pennsylvania P.C.
• Jwalanaiah N Bellur, MD
• Julio Beltran, P.A.
• Brittany Beverly Louise Bemis, MD
• Brittany Ben Horin, APRN
• Chen Ben Shabat, LMHC

• Physical Therapy Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.