Provider Demographics
NPI:1922289529
Name:BIELECKI, JOHN L III (DPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:L
Last Name:BIELECKI
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 MEADOW CROSS WAY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8537
Mailing Address - Country:US
Mailing Address - Phone:717-495-1432
Mailing Address - Fax:
Practice Address - Street 1:200 LUTHER RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1726
Practice Address - Country:US
Practice Address - Phone:717-495-1432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-25
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA015328225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist