Provider Demographics
NPI:1134111982
Name:BELUSKO, ERIC S (MHS, OTR/L, CHT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:S
Last Name:BELUSKO
Suffix:
Gender:M
Credentials:MHS, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 DAWSON RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2370
Mailing Address - Country:US
Mailing Address - Phone:229-432-1397
Mailing Address - Fax:229-432-5467
Practice Address - Street 1:709A N WESTOVER BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1401
Practice Address - Country:US
Practice Address - Phone:229-446-2333
Practice Address - Fax:229-446-7733
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2951225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA983491647AMedicaid
GA52887554-001OtherBCBS
GA67BBBLWMedicare ID - Type Unspecified