Individual provider Active NPI

Devin Belasco, PTA

  • Physical Therapy Assistant
  • Riverside, RI
National Provider Identifier
1922840776
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA01251 Issued in RI
Practice address
41 Bullocks Point Ave Apt 5a
Riverside, RI 02915-5345
Phone
(401) 649-5799
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA01251 RI Primary

Addresses

Primary practice location

41 Bullocks Point Ave Apt 5a
Riverside, RI 02915-5345

Mailing address

41 Bullocks Point Ave Apt 5a
Riverside, RI 02915-5345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA01251RIMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1922840776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BULLOCKS POINT AVE APT 5A",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BULLOCKS POINT AVE APT 5A",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155345",
            "telephone_number": "401-649-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELASCO",
        "first_name": "DEVIN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA01251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.