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

Douglas Patrick Bevilacqua

Individual provider Physical Therapy Assistant · NPI 1891297883

Douglas Patrick Bevilacqua is a Physical Therapy Assistant in Northville, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

39901 Traditions Dr
Northville, MI 48168-9493
Phone: (248) 305-4400
Fax: (248) 305-4401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000232 (MI)

Record details

NPI number1891297883
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESJuly 21, 2022
Mailing address36053 Allen St, Livonia, MI 48154-5212

Other providers in Northville