Healthcare Provider Details

I. General information

NPI: 1013796481
Provider Name (Legal Business Name): APRIL BELK PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11430 N PORT WASHINGTON RD
MEQUON WI
53092-3414
US

IV. Provider business mailing address

N56W27660 LISBON RD
SUSSEX WI
53089-4514
US

V. Phone/Fax

Practice location:
  • Phone: 262-518-1900
  • Fax:
Mailing address:
  • Phone: 414-312-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16561
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: