Individual provider Active NPI

Samuel Frank Bell III, DPT, PT, MS, ATC, PE

  • Sports Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1871832840
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
24077 Issued in MD
Practice address
5972 Edmonds Cir
Huntington Beach, CA 92649-3704
Phone
(203) 856-0846
NPI assigned
Feb 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 24077 MD Primary

Addresses

Primary practice location

5972 Edmonds Cir
Huntington Beach, CA 92649-3704

Mailing address

5972 Edmonds Cir
Huntington Beach, CA 92649-3704
Phone (203) 856-0846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000614 CA Practitioner - Physical Therapist in Private Practice 1951714054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24077MDMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Physical Therapy CurrentSince Feb 13, 2022 Accepting new patients
Baltimore Ravens Past Accepting new patients

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1871832840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 EDMONDS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493704",
            "telephone_number": "203-856-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5972 EDMONDS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493704",
            "telephone_number": "203-856-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "SAMUEL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPT, PT, MS, ATC, PE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "24077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.