Individual provider Active NPI

Amanda Bilazzo, DPT

  • Physical Therapist
  • Somers Point, NJ
National Provider Identifier
1972410819
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02438600 Issued in NJ
Practice address
49 Bethel Rd
Somers Point, NJ 08244-1601
Phone
(609) 904-9404
Fax
(609) 904-9407
NPI assigned
Aug 26, 2026
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 40QA02438600 NJ Primary

Addresses

Primary practice location

49 Bethel Rd
Somers Point, NJ 08244-1601

Mailing address

49 Bethel Rd
Somers Point, NJ 08244-1601
Phone (609) 904-9404

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02438600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Centers of South Jersey LLC Physical Therapist CurrentSince Aug 31, 2026 Accepting new patients

Locations

49 Bethel Rd
Somers Point, NJ 08244
Phone (609) 904-9404

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1972410819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441601",
            "telephone_number": "609-904-9404",
            "fax_number": "609-904-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441601",
            "telephone_number": "609-904-9404",
            "fax_number": "609-904-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAZZO",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02438600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.