Individual provider Active NPI

Angelo Belardo, DPT

  • Physical Therapist
  • Pekin, IL
National Provider Identifier
1194501619
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
70026839 Issued in IL
Practice address
1215 Florence Ave Apt 14
Pekin, IL 61554-7357
Phone
(661) 362-9737
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 70026839 IL Primary

Addresses

Primary practice location

1215 Florence Ave Apt 14
Pekin, IL 61554-7357

Mailing address

1215 Florence Ave Apt 14
Pekin, IL 61554-7357
Phone (661) 362-9737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311002851 IL Practitioner - Physical Therapist in Private Practice 3072959204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians
At Home by Enhance Therapies LLCGroup PAC ID 4183033210, 44 clinicians

Practice addresses (Care Compare)

117 N Western Ave
Peoria, IL 61604-5650
Phone (309) 674-2400

2720 S 14TH St
Pekin, IL 61554-9621
Phone (309) 603-4795

404 S Stillwater Dr
Chillicothe, IL 61523-1290
Phone (732) 994-3200

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70026839ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Feb 26, 2024 Accepting new patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

117 N Western Ave
Peoria, IL 61604
Phone (309) 674-2400

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

400 Route 70
Lakewood, NJ 08701
Phone (609) 805-1686

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1194501619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 FLORENCE AVE APT 14",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547357",
            "telephone_number": "661-362-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 FLORENCE AVE APT 14",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547357",
            "telephone_number": "661-362-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELARDO",
        "first_name": "ANGELO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70026839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.