IndividualActive
Douglas Bevilacqua
NPI 1891297883 · Physical Therapy Assistant · Northville, MI
Provider details
- NPI number
- 1891297883
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5502000232 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
39901 Traditions Dr
Northville, MI 48168-9493
Phone: (248) 305-4400
Fax: (248) 305-4401
Approximate (ZIP-level) locationGet directions
Mailing address
36053 Allen St
Livonia, MI 48154-5212
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.