Provider Demographics
NPI:1053819730
Name:BELLMAN, BRANDON (PT, DPT, MS, AT)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:BELLMAN
Suffix:
Gender:M
Credentials:PT, DPT, MS, AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4261 VALLEY QUAIL BLVD N
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3734
Mailing Address - Country:US
Mailing Address - Phone:440-522-4655
Mailing Address - Fax:
Practice Address - Street 1:1670 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:43212-3302
Practice Address - Country:US
Practice Address - Phone:614-636-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0057412255A2300X
OHPT019743225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer