Individual provider Active NPI

Nikoli Ricondo Bellmas

  • Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1669271102
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120123 Issued in FL
Practice address
580 Village Blvd Ste 215
West Palm Beach, FL 33409-1951
Phone
(561) 828-2501
NPI assigned
Mar 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120123 FL Primary

Addresses

Primary practice location

580 Village Blvd Ste 215
West Palm Beach, FL 33409-1951

Mailing address

9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640

Other practice location 1

160 Congress Park Dr Ste 101
Delray Beach, FL 33445-4724
Phone (561) 588-9912

Other practice location 2

3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797
Phone (561) 570-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602002354 FL Practitioner - Physician Assistant 2961911995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians
Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

3335 Burns Rd
Palm Beach Gardens, FL 33410-4311

4971 Le Chalet Blvd
Suite 100
Boynton Beach, FL 33436-1418
Phone (561) 733-5590

580 Village Blvd
Suite 215
West Palm Beach, FL 33409-1951
Phone (561) 578-4478

7100 Fairway Dr
Suite 42
Palm Beach Gardens, FL 33418-3778
Phone (561) 775-7775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120123FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp CurrentSince May 19, 2025 Accepting new patients
Royal Palm Beach Rehab, Corp CurrentSince May 19, 2025 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

160 Congress Park Dr
Ste 101
Delray Beach, FL 33445
Phone (561) 277-2269

3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600

3345 Burns Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 366-6777

580 Village Blvd
Ste 215
West Palm Beach, FL 33409
Phone (561) 578-4478

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1669271102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 BELVEDERE RD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD STE 215",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091951",
            "telephone_number": "561-828-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Congress Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334454724",
            "country_code": "US",
            "telephone_number": "561-588-9912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Hollywood Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216797",
            "country_code": "US",
            "telephone_number": "561-570-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLMAS",
        "first_name": "NIKOLI",
        "middle_name": "RICONDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.