Individual provider Active NPI

Massimo Bellisario

  • Physical Therapist
  • Palo Alto, CA
National Provider Identifier
1295458420
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302440 Issued in CA
Practice address
3441 Alma St Ste 200
Palo Alto, CA 94306-3508
Phone
(650) 323-4440
NPI assigned
Sep 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302440 CA Primary

Addresses

Primary practice location

3441 Alma St Ste 200
Palo Alto, CA 94306-3508

Mailing address

332 Torino Dr Apt 4
San Carlos, CA 94070-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104000853 CA Practitioner - Physical Therapist in Private Practice 1658741822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302440CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 5, 2024 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist Current Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

3441 Alma St
Ste 200
Palo Alto, CA 94306
Phone (650) 323-4440

2488 De la Cruz Blvd
Santa Clara, CA 95050
Phone (408) 247-7278

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1295458420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 TORINO DR APT 4",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 ALMA ST STE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063508",
            "telephone_number": "650-323-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISARIO",
        "first_name": "MASSIMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.