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NPI Code Detail

MEDICARE: AUGUST JAMES BILOTTA

MEDICARE: AUGUST JAMES BILOTTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT44106FL
2225100000XPhysical Therapist054730-01NY

General Provider Information

NPI Number : 1225918410
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUGUST JAMES BILOTTA
Provider Business Mailing Address
First Line : 48 MEADOW LN
Second Line :
City : BUFFALO
State : NY
Zip : 14223-1362
Country : US
Telephone Number : 716-447-6100
Fax Number :
Provider Business Practice Location Address
First Line : 2950 ELMWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14217-1304
Country : US
Telephone Number : 716-447-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2025
Last Update Date : 12/17/2025

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Directions to “ AUGUST JAMES BILOTTA ” Practice Location

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