| Brefeld Physical Therapy Services Pc | |
|
106 Lincoln Place Ct, Belleville, IL 62221-5884 | |
| (618) 236-7588 | |
| (618) 236-7589 |
| Full Name | Brefeld Physical Therapy Services Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 106 Lincoln Place Ct, Belleville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053308015 | NPI | - | NPPES |
| 5330619 | Other | AETNA | |
| 0001415008 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| 225X00000X | Occupational Therapist | (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Illinois) | Secondary |
| Provider Name | Catherine Carrier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457609448 PECOS PAC ID: 4789941477 Enrollment ID: I20171205002910 |
| Provider Name | Jane M Herrmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497717201 PECOS PAC ID: 7315290277 Enrollment ID: I20181024000139 |
| Provider Name | Kyra Marie Barillier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366043093 PECOS PAC ID: 0648681643 Enrollment ID: I20201124000102 |
| Provider Name | Margaret Timmermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821352402 PECOS PAC ID: 6406269802 Enrollment ID: I20210104000429 |
| Provider Name | Jessica M Cameron |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770212383 PECOS PAC ID: 7719367366 Enrollment ID: I20220629002004 |
| Mailing Address | Practice Location Address |
|---|---|
| Brefeld Physical Therapy Services Pc 106 Lincoln Place Ct, Belleville, IL 62221-5884 Ph: (618) 236-7588 | Brefeld Physical Therapy Services Pc 106 Lincoln Place Ct, Belleville, IL 62221-5884 Ph: (618) 236-7588 |
Margaret R Belongy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Sara Grace Kunz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 N 64th St, Belleville, IL 62223 Phone: 618-397-8400 | |
Julie Malherek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 Wabash Ave, Belleville, IL 62220 Phone: 618-234-6876 Fax: 618-234-6150 | |
Ms. Rudaba Khalid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Belleville, IL 62223 Phone: 618-607-5103 Fax: 618-641-5814 | |
Amy Shevlin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2810 Frank Scott Pkwy W, Ste 824, Belleville, IL 62223 Phone: 618-234-9705 Fax: 618-257-0665 | |
Mr. Donald Clay Courtial, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rehabilitation Services Momorial Hospital, 4500 Memorial Drive, Belleville, IL 62226 Phone: 618-257-5254 Fax: 618-257-6929 |