Provider Demographics
NPI:1609854033
Name:BELLES, ARIANA GAIL (OTR)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:GAIL
Last Name:BELLES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:GAIL
Other - Last Name:PECHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:672 S RIVER ST STE 217
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:672 S RIVER ST STE 217
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1035
Practice Address - Country:US
Practice Address - Phone:215-521-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009383225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50058339OtherKEYSTONE CENTRAL
PA50058339OtherBLUE CROSS
PA100343Medicare ID - Type UnspecifiedMEDICARE