Provider Demographics
NPI:1265755144
Name:BIO ENHANCEMENT PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:BIO ENHANCEMENT PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ACCROCCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-848-8882
Mailing Address - Street 1:4403 STATE ROUTE 725
Mailing Address - Street 2:SUITE B
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-2700
Mailing Address - Country:US
Mailing Address - Phone:937-848-8882
Mailing Address - Fax:937-848-8882
Practice Address - Street 1:4403 STATE ROUTE 725
Practice Address - Street 2:SUITE B
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-2700
Practice Address - Country:US
Practice Address - Phone:937-848-8882
Practice Address - Fax:937-848-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0791321Medicare PIN