Provider Demographics
NPI:1922159250
Name:BELLIN, ERIN L (PT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:BELLIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:L
Other - Last Name:SALZWEDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:W245N6052 MARIS DR
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-5007
Mailing Address - Country:US
Mailing Address - Phone:262-264-8663
Mailing Address - Fax:
Practice Address - Street 1:N14W23833 STONE RIDGE DR STE 300
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1125
Practice Address - Country:US
Practice Address - Phone:262-408-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10766-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI81030Medicare PIN