Mark Bellen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160007679 Issued in IL

Practice address

1415 W Foster Ave
Chicago, IL 60640-2288

Phone

(773) 769-5500

NPI assigned

Jun 1, 2015

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1649650029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 N MAPLEWOOD AVE APT 314",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402288",
            "telephone_number": "773-769-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 E Peakview Ave",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801213539",
            "country_code": "US",
            "telephone_number": "303-713-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLEN",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013611",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160007679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belle Counseling and Wellness, PLLC
• Jacqueline Estelle Bellefontaine, LCSW
• Kafi Bellel, RBT-18-48391
• Bellen Eyecare, LTD
• John P Bellen, O.D.
• Wayne Bellen, DDS
• Eli Beller
• Ina Beller, LCSW
• Zachary Beller
• Gina Belli, PHD

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.