Eric Bellm, DPT
Individual provider Active NPI Physical Therapist · Winnetka, IL
NPI 1114213196 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1114213196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-019688 (IL)
- Practice address
- 852 Green Bay Rd
Winnetka, IL 60093-1853 - Phone
- (847) 441-5788
- Fax
- (847) 784-8720
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-019688 | IL | MD | Physical Therapist |
| 2011019590 | MO | MD | Sports Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 2011019590 | MO | |
| Physical Therapist | 225100000X | 070-019688 | IL | Yes |
Addresses
Primary practice location
852 Green Bay Rd
Winnetka, IL 60093-1853
Mailing address
852 Green Bay Rd
Winnetka, IL 60093-1853
Phone (847) 441-5788
Other providers in Winnetka, IL
- Kathleen B Barth
- Lisa Marie Baskfield
- Thomas Bass
- K. Lara Beanblossom
- Becca Meyer, Psy.D. PLLC
- Sharon Marie Berlin
- Michael David Blum
- Karl Olof Rikard Boerjesson
- Bone and Body Women'S Health, LLC
- Randy C Bugayong
All providers in Winnetka, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. 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.