MEDICARE: JULIE RENEE BELILES P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05007089A	IN

General Provider Information

NPI Number	:	1265479661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE RENEE BELILES P.T.

Provider Business Mailing Address
First Line	:	4214 SUNRISE DR
Second Line	:
City	:	SELLERSBURG
State	:	IN
Zip	:	47172-9252
Country	:	US
Telephone Number	:	812-725-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 W 78TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-3319
Country	:	US
Telephone Number	:	317-414-8392
Fax Number	:	317-466-1154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	10/31/2018

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