Individual provider Active NPI

Bella Kavalerchik, PT

  • Physical Therapist
  • Rochelle Park, NJ
National Provider Identifier
1972546190
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00776000 Issued in NJ
Practice address
218 Route 17 North Ste 304
Rochelle Park, NJ 07662-3399
Phone
(201) 791-0008
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 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 40QA00776000 NJ Primary

Addresses

Primary practice location

218 Route 17 North Ste 304
Rochelle Park, NJ 07662-3399

Mailing address

1 Grover Ter
Fair Lawn, NJ 07410-4506
Phone (201) 791-7177

Other practice location 1

1 Grover st
Fair Lawn, NJ 07410
Phone (201) 791-7177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001369 NJ Practitioner - Physical Therapist in Private Practice 9638166960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Physical Therapy PCGroup PAC ID 8527077338, 5 clinicians

Practice addresses (Care Compare)

218 Route 17 N
Suite 304
Rochelle Park, NJ 07662-3399
Phone (201) 791-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Physical Therapy, PC Current Accepting new patients
Bella Physical Therapy PC Physical Therapist CurrentSince Feb 2, 2006 Accepting new patients

Locations

39-40 Broadway
Ste 4
Fair Lawn, NJ 07410
Phone (201) 791-0008

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 794-6868

218 Route 17 N
Ste 304
Rochelle Park, NJ 07662
Phone (201) 791-0008

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1972546190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GROVER TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104506",
            "telephone_number": "201-791-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ROUTE 17 NORTH STE 304",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623399",
            "telephone_number": "201-791-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Grover st",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "07410",
            "country_code": "US",
            "telephone_number": "201-791-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVALERCHIK",
        "first_name": "BELLA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00776000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.