Active NPI
Jeffrey P Bellanich, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1689142200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043707
- Practice address
- 10 Mount Morris Park W Apt 2
New York, NY 10027-6512 - Phone
- (669) 696-5556
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 301989 | CA | |
| Physical Therapist | 225100000X | 043707 | NY | Primary |
Addresses
Primary practice location
10 Mount Morris Park W Apt 2
New York, NY 10027-6512
Mailing address
10 Mount Morris Park W Apt 2
New York, NY 10027-6512
Phone (669) 696-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 Lenox Ave
New York, NY 10027-6498
Phone (212) 222-6525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043707 | NY | MD | Pharmacist |
| 301989 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Bridgeway Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Park North Physical Therapy, PLLC | Current | Accepting new patients | |
| Naledi Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
Organizations & group practices 4
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
- New York, NY
- NPI 1194930511
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1316753783
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- New York, NY
- NPI 1821954108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1689142200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MOUNT MORRIS PARK W APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100276512",
"telephone_number": "669-696-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MOUNT MORRIS PARK W APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100276512",
"telephone_number": "669-696-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLANICH",
"first_name": "JEFFREY",
"middle_name": "P",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301989",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.