Healthcare Provider Details

I. General information

NPI: 1306760798
Provider Name (Legal Business Name): NICHOLAS BELL PT, DPT, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 FAIROAKS DR
PALM HARBOR FL
34683-5877
US

IV. Provider business mailing address

2214 FAIROAKS DR
PALM HARBOR FL
34683-5877
US

V. Phone/Fax

Practice location:
  • Phone: 727-266-7415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45191
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: