Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 2845 | NM |
N | 2251E1200X | Ergonomics | 2845 | NM |
N | 225XE1200X | Ergonomics | 2845 | NM |
N | 2251H1200X | Hand | 2845 | NM |
N | 2251H1300X | Human Factors | 2845 | NM |
N | 225XH1300X | Human Factors | 2845 | NM |
N | 2251N0400X | Physical Therapist - Neurology | 2845 | NM |
N | 2251P0200X | Physical Therapist - Pediatrics | 2845 | NM |
N | 2251S0007X | Physical Therapist - Sports | 2845 | NM |
N | 2251X0800X | Physical Therapist - Orthopedic | 2845 | NM |
Y | 2251X0800X | Physical Therapist - Orthopedic | PTL.0009523 | CO |
NPI | 1699753483 |
---|---|
Provider Name | Dr. James C. Beldzik |
First Address | Colorado Springs, CO 80922-2806 |
Second Address | Colorado Springs, CO 80922-2806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 07/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201079804 | PRESBYTERIAN HEALTH PLAN (01) | NM |
850448868 | ALL OTHER INSURANCES (01) | NM |
NM00Q389 | BLUECROSSBLUESHEILDS (01) | NM |