Claude Lincoln Bellefeuille III, PT
Individual provider Active NPI Physical Therapist · Eatonton, GA
NPI 1851783674 · NPPES record last updated Mar 3, 2015
Key facts
- NPI
- 1851783674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT007885 (GA)
- Practice address
- 117 Harmony Xing
Suite 4
Eatonton, GA 31024-9549 - Phone
- (706) 454-1811
- Fax
- (706) 454-1812
- NPI assigned
- Mar 3, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150429001338 | GA | Practitioner - Physical Therapist in Private Practice | 2860711686 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Evans Rehabilitation Services, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007885 | GA | Yes |
Addresses
Primary practice location
117 Harmony Xing
Suite 4
Eatonton, GA 31024-9549
Mailing address
117 Harmony Xing
Suite 4
Eatonton, GA 31024-9549
Phone (706) 454-1811
Other providers in Eatonton, GA
- Authentic Healthcare
- Jordan Barr
- Dawn Baynes
- Haley Simons Becker
- Melissa Dawn Belcher
- Zo Benbrahim
- Benzer Pharmacy Eatonton LLC
- Robert Douglas Betzel
- Body for Life, LLC
- Erica D Bolston
All providers in Eatonton, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.