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

Mary Edith Phelps, PTA

Individual provider Physical Therapy Assistant · NPI 1689415002

Mary Edith Phelps, PTA is a Physical Therapy Assistant in Belleville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

605 N 27th St
Belleville, IL 62226-6509
Phone: (618) 531-4648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160001392 (IL)

Record details

NPI number1689415002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 2, 2024
Mailing address605 N 27th St, Belleville, IL 62226-6509

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