Individual provider Active NPI

Katelyn M Bellelo, PT, DPT

  • Physical Therapist
  • Mansura, LA
National Provider Identifier
1336024421
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12167 Issued in LA
Practice address
7406 Highway 1 Ste 102
Mansura, LA 71350-4230
Phone
(318) 240-7680
NPI assigned
Aug 7, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 12167 LA Primary

Addresses

Primary practice location

7406 Highway 1 Ste 102
Mansura, LA 71350-4230

Mailing address

PO Box 849
Jennings, LA 70546-0849
Phone (337) 824-8287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821004977 LA Practitioner - Physical Therapist in Private Practice 5294235453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Center of Jefferson Davis Parish, IncGroup PAC ID 0345207544, 19 clinicians
Lemoine Therapy Services of Cenla IncGroup PAC ID 4789635244, 11 clinicians

Practice addresses (Care Compare)

2002 Johnson St
Suite 100
Jennings, LA 70546-3640
Phone (337) 824-4547

7406 Hwy 1
Suite 102
Mansura, LA 71350-4204
Phone (318) 240-7680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Center of Jefferson Davis Parish, Inc Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Lemoine Therapy Services of Cenla Inc Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Physical Therapy Clinic of Carencro LLC Physical Therapist PastSince Aug 11, 2025 Accepting new patients

Locations

4501 Jackson St
Ste D
Alexandria, LA 71303
Phone (318) 704-0710

204 E Saint Peter St
Carencro, LA 70520
Phone (337) 896-6685

1401 Church St
Jeanerette, LA 70544
Phone (337) 276-2803

2002 Johnson St
Ste 100
Jennings, LA 70546
Phone (337) 824-8287

2002 Johnson St
Jennings, LA 70546

105 Patriot St
Ste 201
Lafayette, LA 70508
Phone (337) 345-1957

4451 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-0027

7406 Highway 1
Ste 102
Mansura, LA 71350
Phone (318) 240-7680

Organizations & group practices 3

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1336024421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705460849",
            "telephone_number": "337-824-8287",
            "fax_number": "337-824-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 HIGHWAY 1 STE 102",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504230",
            "telephone_number": "318-240-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLELO",
        "first_name": "KATELYN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "12167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansura, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.