Provider Demographics
NPI:1942185921
Name:BILELLO, DOMINIC PASQUALE (PT)
Entity type:Individual
Prefix:MR
First Name:DOMINIC
Middle Name:PASQUALE
Last Name:BILELLO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1501 LOWER STATE RD STE 308
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1201
Mailing Address - Country:US
Mailing Address - Phone:215-997-9898
Mailing Address - Fax:215-997-9899
Practice Address - Street 1:371 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2333
Practice Address - Country:US
Practice Address - Phone:215-997-9898
Practice Address - Fax:215-997-9899
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033523225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist