Active NPI
Bo Bilello
- Physical Therapist
- Meridian, MS
National Provider Identifier
1871158055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6435
- Practice address
- 2447 47TH CT Ste F
Meridian, MS 39305-2686 - Phone
- (601) 282-5264
- Fax
- (601) 286-5166
- NPI assigned
- May 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 | PT6435 | MS | Primary |
Addresses
Primary practice location
2447 47TH CT Ste F
Meridian, MS 39305-2686
Mailing address
2447 47TH CT Ste F
Meridian, MS 39305-2686
Phone (601) 282-5264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
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)
2447 47TH CT
Suite F
Meridian, MS 39305-2686
Phone (601) 282-5264
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.66 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6435 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy & Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2447 47th Ct
Ste F
Meridian, MS 39305
Phone (601) 282-5264
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
- Meridian, MS
- NPI 1245686575
Physical Therapist
-
- Orthopaedic Surgery Physician
- Columbus, MS
- NPI 1740287374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1871158055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2447 47TH CT STE F",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052686",
"telephone_number": "601-282-5264",
"fax_number": "601-286-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 47TH CT STE F",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052686",
"telephone_number": "601-282-5264",
"fax_number": "601-286-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILELLO",
"first_name": "BO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.