Active NPI
Thomas J Bell, D.P.T.
- Physical Therapist
- Lake Wales, FL
National Provider Identifier
1306176136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24976
- Practice address
- 22415 US Highway 27
Lake Wales, FL 33859-6861 - Phone
- (863) 676-5028
- Fax
- (863) 676-5052
- NPI assigned
- Dec 29, 2009
- Last updated
- Mar 16, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24976 | FL | Primary |
| Physical Therapist | 225100000X | PT009660 | GA |
Addresses
Primary practice location
22415 US Highway 27
Lake Wales, FL 33859-6861
Mailing address
405 Osigian Blvd
Warner Robins, GA 31088-8958
Phone (478) 953-3535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24976 | FL | MD | Physical Therapist |
| PT009660 | GA | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1306176136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 OSIGIAN BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888958",
"telephone_number": "478-953-3535",
"fax_number": "478-953-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22415 US HIGHWAY 27",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338596861",
"telephone_number": "863-676-5028",
"fax_number": "863-676-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-29",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24976",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009660",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.