MEDICARE: WILLIAM BEDFORD II DPT

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
1	225100000X	Physical Therapist	PT.014365	OH
2	225100000X	Physical Therapist	PT44564	FL

General Provider Information

NPI Number	:	1518396969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BEDFORD II DPT

Provider Business Mailing Address
First Line	:	3306 BONITA BEACH RD STE 140
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-4189
Country	:	US
Telephone Number	:	833-493-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3306 BONITA BEACH RD STE 140
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34134-4189
Country	:	US
Telephone Number	:	833-493-4325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	05/04/2026

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Directions to “ WILLIAM BEDFORD II DPT” Practice Location

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