Individual provider Active NPI

Bo Bilello

  • Physical Therapist
  • Meridian, MS
National Provider Identifier
1871158055
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6435 Issued in MS
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

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190614000059 MS Practitioner - Physical Therapist in Private Practice 1153654660 Reassigns benefits to 2 organizations

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
Synergy Physical Therapy and Sports Medicine, LLCGroup PAC ID 0042501025, 3 clinicians
The Columbus Orthopaedic Clinic, P.a.Group PAC ID 5890751945, 52 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6435MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy & Sports Medicine, LLC Physical Therapist CurrentSince May 1, 2019 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.

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.

Verify at the official NPI Registry.