Kathleen Belford, PT
Individual provider Active NPI Physical Therapist · Dyer, IN
NPI 1194850149 · NPPES record last updated Nov 25, 2008
Key facts
- NPI
- 1194850149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05001603A (IN)
- Practice address
- 425 US Route 30
Suite 320
Dyer, IN 46311 - Phone
- (219) 864-0290
- Fax
- (219) 864-0376
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 05001603A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation | Past | Accepting new patients | |
| Illiana Surgery and Medical Center | Physical Therapist | Past | Accepting new patients |
| Diveris Orthopedics and Sports Medicine,PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001603A | IN | Yes |
Addresses
Primary practice location
425 US Route 30
Suite 320
Dyer, IN 46311
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233950 | Other | IN | MEDICARE GROUP NUMBER -DIVERIS ORTHOPEDICS AND SPORTS MED PC-PORTAGE IN |
Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2008. 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.