Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avary Lauren Bielema, DPT

Individual provider Physical Therapist · NPI 1063392298

Avary Lauren Bielema, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2025, 1 year ago. Practices with Impact Physical Therapy, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1103 S State St Ste 300
Chicago, IL 60605-2775
Phone: (312) 877-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070029481 (IL)

Record details

NPI number1063392298
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Impact Physical Therapy, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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