Provider Demographics
NPI: | 1699753483 |
---|---|
Name: | BELDZIK, JAMES C (PT, DPT, OCS) |
Entity type: | Individual |
Prefix: | DR |
First Name: | JAMES |
Middle Name: | C |
Last Name: | BELDZIK |
Suffix: | |
Gender: | M |
Credentials: | PT, DPT, OCS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2999 NEW CENTER PT |
Mailing Address - Street 2: | |
Mailing Address - City: | COLORADO SPRINGS |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80922-2806 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 719-365-5842 |
Mailing Address - Fax: | 719-365-6878 |
Practice Address - Street 1: | 2999 NEW CENTER PT |
Practice Address - Street 2: | |
Practice Address - City: | COLORADO SPRINGS |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80922-2806 |
Practice Address - Country: | US |
Practice Address - Phone: | 719-365-5842 |
Practice Address - Fax: | 719-365-6878 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-01-03 |
Last Update Date: | 2020-04-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NM | 2845 | 225100000X, 2251E1200X, 2251H1200X, 2251H1300X, 2251N0400X, 2251P0200X, 2251S0007X, 2251X0800X |
CO | PTL.0009523 | 2251X0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
No | 2251E1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics |
No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand |
No | 2251H1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Human Factors |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NM | 201079804 | Other | PRESBYTERIAN HEALTH PLAN |
NM | NM00Q389 | Other | BLUECROSSBLUESHEILDS |
NM | 850448868 | Other | ALL OTHER INSURANCES |