Charesa Bellen
Individual provider Active NPI Physical Therapist · Michigan City, IN
NPI 1124904271 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1124904271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05003933A (IN)
- Practice address
- 1101 E Coolspring Ave
Michigan City, IN 46360-6310 - Phone
- (219) 874-5211
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 05003933A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05003933A | IN | Yes |
Addresses
Primary practice location
1101 E Coolspring Ave
Michigan City, IN 46360-6310
Mailing address
1101 E Coolspring Ave
Michigan City, IN 46360-6310
Other providers in Michigan City, IN
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- Razia Begum
- Vamshi Kiran Bende
- Benson Oral Surgery and Dental Implants, LLC
- Gregory S Benson
- Rachel Heard Benson
- Amie Bernard
All providers in Michigan City, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. 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.