MEDICARE: CODY BELLO PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01785400	NJ

General Provider Information

NPI Number	:	1932697539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CODY BELLO PT, DPT

Provider Business Mailing Address
First Line	:	50 PEACHSTONE RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2208
Country	:	US
Telephone Number	:	732-900-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 WHITE RD STE 104
Second Line	:
City	:	LITTLE SILVER
State	:	NJ
Zip	:	07739-1167
Country	:	US
Telephone Number	:	732-383-8295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2018
Last Update Date	:	11/26/2021

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