Individual provider Active NPI

Janelle Belles

  • Physical Therapy Assistant
  • Granite City, IL
National Provider Identifier
1437645462
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2005029634 Issued in MO
Practice address
3208 Bluebird LN
Granite City, IL 62040-5294
Phone
(618) 670-6644
NPI assigned
Jul 2, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306605059 VA
Physical Therapy Assistant 225200000X 160005418 IL
Physical Therapy Assistant 225200000X PTA27486 FL
Physical Therapy Assistant 225200000X 2005029634 MO Primary

Addresses

Primary practice location

3208 Bluebird LN
Granite City, IL 62040-5294

Mailing address

3208 Bluebird LN
Granite City, IL 62040-5294
Phone (618) 670-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA27486FLMDPhysical Therapy Assistant
160005418ILMDPhysical Therapy Assistant
2005029634MOMDPhysical Therapy Assistant
2306605059VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1437645462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 BLUEBIRD LN",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405294",
            "telephone_number": "618-670-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 BLUEBIRD LN",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405294",
            "telephone_number": "618-670-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLES",
        "first_name": "JANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605059",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005418",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27486",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2005029634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.