Emily Balestri, DPT
Individual provider Active NPI Physical Therapist · Peru, IL
NPI 1710351168 · NPPES record last updated Nov 23, 2015
Key facts
- NPI
- 1710351168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.016988 (IL)
- Practice address
- 1400 Midtown Rd
Peru, IL 61354-1269 - Phone
- (815) 223-8600
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.016988 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Margaret'S Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.016988 | IL | Yes |
Addresses
Primary practice location
1400 Midtown Rd
Peru, IL 61354-1269
Mailing address
600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 223-8600
Other providers in Peru, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2015. 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.