Individual provider Active NPI

Thomas Joseph Bellama, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1326476490
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
11625 Issued in AZ
Practice address
4440 N 36TH St Ste 240
Phoenix, AZ 85018-3592
Phone
(602) 956-4040
NPI assigned
Oct 28, 2013
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24075 MD
Orthopedic Physical Therapist 2251X0800X 11625 AZ Primary

Addresses

Primary practice location

4440 N 36TH St Ste 240
Phoenix, AZ 85018-3592

Mailing address

4440 N 36TH St Ste 240
Phoenix, AZ 85018-3592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190506001729 MP Practitioner - Physical Therapist in Private Practice 1759681216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24075MDMDPhysical Therapist
11625AZMDOrthopedic Physical Therapist
0051MPMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CWM Trust, LLC. CurrentSince Feb 13, 2019 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist PastSince Jul 13, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1326476490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183592",
            "telephone_number": "602-956-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMA",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-28",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24075",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "11625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.