Angelo Belardo, DPT
Individual provider Active NPI Physical Therapist · Pekin, IL
NPI 1194501619 · NPPES record last updated Aug 31, 2023
Key facts
- NPI
- 1194501619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 70026839 (IL)
- Practice address
- 1215 Florence Ave Apt 14
Pekin, IL 61554-7357 - Phone
- (661) 362-9737
- NPI assigned
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- 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 LLC
Empowerme Rehabilitation Illinois LLC
At Home by Enhance Therapies LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311002851 | IL | Practitioner - Physical Therapist in Private Practice | 3072959204 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70026839 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients | |
| At Home by Enhance Therapies LLC | Physical Therapist | Current |
Accepting new patients |
| Synergy Care Southeast, LLC | Physical Therapist | Current |
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) 673-6723
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70026839 | IL | Yes |
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
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.