Provider Demographics
NPI:1124650999
Name:BELLO, GABRIELLE PAIGE (DPT)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:PAIGE
Last Name:BELLO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 HAMILTON ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-2028
Mailing Address - Country:US
Mailing Address - Phone:412-437-3001
Mailing Address - Fax:412-437-3079
Practice Address - Street 1:1530 HAMILTON ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-2028
Practice Address - Country:US
Practice Address - Phone:412-437-3001
Practice Address - Fax:412-437-3079
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT028168225100000X
FLPT40967225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103789137Medicaid