Individual provider Active NPI

Jessica Melancon Bellew, MPT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1891542734
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1148171 Issued in TX
Practice address
800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone
(832) 559-2900
Fax
(832) 559-2900
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 1148171 TX Primary

Addresses

Primary practice location

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007

Mailing address

800 Bonaventure Way Ste 167
Sugar Land, TX 77479-8007
Phone (832) 559-2900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726001017 TX Practitioner - Physical Therapist in Private Practice 0547706558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Physical Therapy, LLCGroup PAC ID 2264850114, 5 clinicians

Practice addresses (Care Compare)

800 Bonaventure Way
Suite 167
Sugar Land, TX 77479-8007
Phone (832) 559-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1148171TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Home Health, LLC CurrentSince Jun 6, 2024 Accepting new patients
Evolve Physical Therapy, LLC Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients

Locations

10401 S Mason Rd
Ste 505
Richmond, TX 77406

10401 S Mason Rd
Unit E505
Richmond, TX 77406
Phone (832) 847-6130

800 Bonaventure Way
Ste 167
Sugar Land, TX 77479
Phone (832) 559-2900

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1891542734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 167",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "832-559-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 167",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "832-559-2900",
            "fax_number": "832-559-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEW",
        "first_name": "JESSICA",
        "middle_name": "MELANCON",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1148171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.