MEDICARE: DAWN BELLSKY PT

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
2	225100000X	Physical Therapist	PT4359	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679859227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN BELLSKY PT

Provider Business Mailing Address
First Line	:	1620 RIDGEWOOD DR
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-2936
Country	:	US
Telephone Number	:	989-550-2436
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 SEWELL STREET 146 STATE HOUSE STATION
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04333-7518
Country	:	US
Telephone Number	:	207-624-6660
Fax Number	:

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

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	12/17/2023

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Directions to “ DAWN BELLSKY PT” Practice Location

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