Beth Bellner-Fongers
Individual provider Active NPI Physical Therapist · Rockford, MI
NPI 1043714769 · NPPES record last updated Mar 19, 2018
Key facts
- NPI
- 1043714769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501004039 (MI)
- Practice address
- 515 E Division St
Rockford, MI 49341-1377 - Phone
- (616) 863-3133
- Fax
- (616) 866-8973
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004039 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501004039 | MI | Yes |
Addresses
Primary practice location
515 E Division St
Rockford, MI 49341-1377
Mailing address
515 E Division St
Rockford, MI 49341-1377
Other providers in Rockford, MI
- Thomas Kalvin Barnett
- Marci Anne Bartholomew
- Baruch SLS, Inc.
- Brent A. Becklin
- Emily Marie Beeman
- Amanda Benson
- Jessica Benzer
- Alexandra M Berger
- Kristian Loneen Bergsma
- Mitchell Brian Berkenpas
All providers in Rockford, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.