Bella Hostak, PT,DPT,GCS,CEEAA,CCI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9501 Issued in MN

Practice address

650 Huebner Rd
Fort Riley, KS 66442-4030

Phone

(785) 239-3627

NPI assigned

Nov 19, 2008

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Bella Goplen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1447405303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTAK",
        "first_name": "BELLA",
        "credential": "PT,DPT,GCS,CEEAA,CCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PT18891",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "PT9501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BELLA",
            "last_name": "GOPLEN",
            "credential": "PT,DPT,GCS,CEEAA,CCI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tamika Hodges
• Andrew Charles Hoffman
• Micah Elizabeth Hofmann, MS, LAT, ATC
• Luke Alexander Hornung, DPT
• Suzanna Nichole Horsch, DO
• Michelle Yvonne Houston, LSCSW
• James Tien Ti Hsu, M.D.
• Makayla Layne Huey
• Jessica Husman, OTD, OTR/L
• Stephen Ingle, DO

• Physical Therapist in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.