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

Jodi Bielicke, DPT

Individual provider Physical Therapist · NPI 1184123515

Jodi Bielicke, DPT is a Physical Therapist in Private Practice in Ballwin, Missouri. Qualified in 2017, 9 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2018
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

15425 Manchester Rd Ste 28
Ballwin, MO 63011-3077
Phone: (636) 467-2730
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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 2018003429 (MO)

Record details

NPI number1184123515
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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