Active NPI
Elizabeth Ann Bell
- Physical Therapist
- Perry, GA
National Provider Identifier
1366471047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008373
- Practice address
- 1306 Macon Rd
Perry, GA 31069-2652 - Phone
- (478) 987-4600
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008373 | GA | Primary |
Addresses
Primary practice location
1306 Macon Rd
Perry, GA 31069-2652
Mailing address
414 Avery CT
Bonaire, GA 31005-5629
Phone (478) 954-3888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441474936A | Medicaid | GA | |
| 52703705 | Other | GA | BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050818000701 | GA | Practitioner - Physical Therapist in Private Practice | 5193755122 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Summit Physical Therapy
Practice addresses (Care Compare)
1306 Macon Rd
Perry, GA 31069-2652
Phone (478) 987-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008373 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy | Physical Therapist | Current | Accepting new patients |
| The Cantrell Center for Physical Therapy and Sports Medicine, P.C. | Past | Accepting new patients |
Locations
1306 Macon Rd
Perry, GA 31069
Phone (478) 987-1441
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Warner Robins, GA
- NPI 1417091372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1366471047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 AVERY CT",
"city": "BONAIRE",
"state": "GA",
"postal_code": "310055629",
"telephone_number": "478-954-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 MACON RD",
"city": "PERRY",
"state": "GA",
"postal_code": "310692652",
"telephone_number": "478-987-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "441474936A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "52703705",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perry, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.