DOUGLAS PATRICK BEVILACQUA (NPI# 1891297883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891297883 |
| Entity Type | Individual |
| Full Name | DOUGLAS PATRICK BEVILACQUA |
| Practice Address |
39901 Traditions Dr Northville MI 48168-9493 |
| Mailing Address |
36053 Allen St Livonia MI 48154-5212 |
| Practice Telephone | 2483054400 |
| Practice Fax Number | 2483054401 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502000232 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5502000232 | 05 | |
| MI | $$$$$$$$$ | 5502000232 | 01 |
| Street Address |
39901 TRADITIONS DR |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48168-9493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437116092 | Susan Janette Duart-digon | Social Worker | 39901 Traditions Dr, Suite 210, Northville, MI 48168 | 2006-04-27 |
| 1629694054 | Aroosa Malik | Student in an Organized Health Care Education/Training Program | 39901 Traditions Dr, Northville, MI 48168-9493 | 2020-06-22 |
| 1962027292 | Marc Cantwell | Student in an Organized Health Care Education/Training Program | 39901 Traditions Dr, Northville, MI 48168-9493 | 2020-06-12 |
| 1124641535 | Lilliana Haddad | Student in an Organized Health Care Education/Training Program | 39901 Traditions Dr, Northville, MI 48168-9493 | 2020-05-20 |
| 1164043576 | Jamie Lillian Brotchner | Social Worker | 39901 Traditions Dr, Northville, MI 48168-9493 | 2020-04-27 |
| 1164903688 | Michael Funyak | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-08-23 |
| 1598242463 | Margaret Joan Kantola | Social Worker | 39901 Traditions Dr, Suite 210, Northville, MI 48168 | 2018-07-24 |
| 1962906479 | Jeff Clinansmith | Physical Therapy Assistant | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-03-20 |
| 1396248928 | Tina Lynnea Fitzgerald | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-03-09 |
| 1922500875 | Andrea Gilbert | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619474376 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 39901 Traditions Dr Ste 230, Northville, MI 48168 | 2018-04-10 |
| 1487151486 | Amy Elizabeth Parravano Drummond | Social Worker | 49018 Freestone Dr, Northville, MI 48168 | 2018-04-07 |
| 1164925731 | Jessie A Hadley | Physical Therapy Assistant | Northville Health Center, 39901 Traditions Dr., Northville, MI 48168 | 2018-03-09 |
| 1952800591 | Katherine Kuciemba | Counselor | 18600 Northville Rd Ste 400, Northville, MI 48168 | 2018-02-09 |
| 1477957363 | Wendy Lynn Loope | Nurse Practitioner | 39901 Traditiions Dr, Suite 210, Northville, MI 48168 | 2014-10-21 |
| 1447502596 | Steven James Helsel | Counselor | 18600 Northville Rd., Northville, MI 48168 | 2012-10-12 |
| 1801041439 | R3a Corp | Durable Medical Equipment & Medical Supplies | 17911 Haggerty Rd, Northville, MI 48168 | 2008-11-24 |
| 1164589925 | Mary Catherine Neumaier | Dietitian, Registered | 40020 Five Mile Road, Northville, MI 48168 | 2007-01-02 |
| 1235249087 | Nicholas Spiro Sellas | General Practice | 18905 Edenderry Drive, Northville, MI 48168 | 2006-08-30 |
| 1992713390 | Karen H. Yurko | Psychologist | 41820 Six Mile. Rd., Ste. 104, Northville, MI 48168 | 2006-08-03 |
| Find all providers in zip 48168 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164925731 | Jessie A Hadley | Physical Therapy Assistant | Northville Health Center, 39901 Traditions Dr., Northville, MI 48168 | 2018-03-09 |
| 1508315029 | Shynu Varghese | Physical Therapy Assistant | 17066 Boulder Dr, Northville, MI 48168-6820 | 2016-09-26 |
| 1962906479 | Jeff Clinansmith | Physical Therapy Assistant | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-03-20 |
| 1740650035 | Erin Depp | Physical Therapy Assistant | 15870 N Haggerty Rd, Northville, MI 48430-9409 | 2015-09-30 |
| 1366828030 | Ali Mohammed Lakhani | Physical Therapy Assistant | 215 E Main St, Suite B, Northville, MI 48167-1681 | 2015-08-05 |
| 1376844399 | Carllette Craft | Physical Therapy Assistant | 235 E Main St, Suite 104, Northville, MI 48167-2494 | 2010-11-08 |
| 1831499763 | Tara Perez | Physical Therapy Assistant | 235 E Main St, Suite 104, Northville, MI 48167-2494 | 2010-10-26 |
| 1619123783 | Daniele Cristiano Valentini | Physical Therapy Assistant | 235 E Main St, Suite 104, Northville, MI 48167-2494 | 2008-08-08 |
| 1679737662 | Carrie Dodge | Physical Therapy Assistant | 235 E Main St, Suite 104, Northville, MI 48167-2494 | 2008-07-18 |
| 1710141759 | Sridhar Sigamala | Physical Therapy Assistant | 235 E Main St, Suite 104, Northville, MI 48167-2494 | 2008-07-17 |
| Find all providers in NORTHVILLE | ||||
| City | NORTHVILLE |
| Zip Code | 48168 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.