Individual provider Active NPI

John L Bielecki III, DPT

  • Physical Therapist
  • Shrewsbury, PA
National Provider Identifier
1922289529
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015328 Issued in PA
Practice address
200 Luther Rd
Shrewsbury, PA 17361-1726
Phone
(717) 495-1432
NPI assigned
Nov 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015328 PA Primary

Addresses

Primary practice location

200 Luther Rd
Shrewsbury, PA 17361-1726

Mailing address

2734 Meadow Cross Way
York, PA 17402-8537
Phone (717) 495-1432

Other practice location 1

845 Edmund Ave
York, PA 17404-6639
Phone (717) 767-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015328PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Aug 29, 2016 Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc. Past Accepting new patients

Locations

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

10475 Perry Hwy
Ste 106G
Wexford, PA 15090
Phone (877) 407-4322

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1922289529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 MEADOW CROSS WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028537",
            "telephone_number": "717-495-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LUTHER RD",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611726",
            "telephone_number": "717-495-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Edmund Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174046639",
            "country_code": "US",
            "telephone_number": "717-767-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELECKI",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-25",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "015328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.