Provider Demographics
NPI:1033130265
Name:BIELY, SCOTT ALDEN (PT, DPT, OCS, MTC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ALDEN
Last Name:BIELY
Suffix:
Gender:M
Credentials:PT, DPT, OCS, MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 W WOODBANK WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1754
Mailing Address - Country:US
Mailing Address - Phone:610-431-7709
Mailing Address - Fax:
Practice Address - Street 1:200 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4512
Practice Address - Country:US
Practice Address - Phone:610-436-8620
Practice Address - Fax:610-436-9493
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT 003891L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396713Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER