Deron Bellcase

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 2519 Issued in MS

Practice address

520 E 8TH St SE
Rome, GA 30161-6208

Phone

(706) 513-0455

NPI assigned

Apr 10, 2011

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of South Alabama College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shift Mobile Therapy and Wellness, LLCGroup PAC ID 9739519836, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shift Mobile Therapy and Wellness, LLC

  • Physical Therapist
  • Rome, GA
  • NPI 1891326542
  Medicare reassignment Care Compare group NPD
• Shift Mobile Therapy and Wellness, LLC

  • Physical Therapist
  • Cartersville, GA
  • NPI 1235086877
  NPD (past)

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1295025401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 8TH ST SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616208",
            "telephone_number": "706-513-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 8TH ST SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616208",
            "telephone_number": "706-513-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLCASE",
        "first_name": "DERON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT 2519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavior Momentum LLC
• Myra Belcher, RN,CSN,BSN,NP
• Benjamin Steven Bell, DO
• Bruce K Bell, O. D.
• Sidney Allen Bell, MD
• Lindsey Bellcase
• John J. Beninato, D.D.S.
• Bennett Orthodontics, LLC
• Inga Elita Bennett, NP-C
• William Bennett, DMD

• Occupational Therapist in Rome, GA
• Providers in Rome, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.

Verify at the official NPI Registry.