Individual provider Active NPI

Jeffrey P Bellanich, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1689142200
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043707 Issued in NY
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

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190107000862 NY Practitioner - Physical Therapist in Private Practice 9537405956 Reassigns benefits to 2 organizations
I20220929001754 CA Practitioner - Physical Therapist in Private Practice 9537405956 Reassigns benefits to 1 organization

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
Park North Physical Therapy, PLLCGroup PAC ID 9335238781, 8 clinicians

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

LicenseStateTypeSpecialty
043707NYMDPharmacist
301989CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Dec 27, 2023 Accepting new patients
Bridgeway Physical Therapy, PLLC Physical Therapist CurrentSince Jan 4, 2026 Accepting new patients
Park North Physical Therapy, PLLC CurrentSince Aug 1, 2019 Accepting new patients
Naledi Physical Therapy PLLC Physical Therapist CurrentSince Oct 27, 2025 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.

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.

Verify at the official NPI Registry.