Healthcare Provider Details

I. General information

NPI: 1144137456
Provider Name (Legal Business Name): ABIGAIL BERNARD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N MAIN ST STE 100
SPRINGBORO OH
45066-8005
US

IV. Provider business mailing address

6480 HARRISON AVE STE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 937-806-0318
  • Fax: 513-354-7651
Mailing address:
  • Phone: 513-354-3370
  • Fax: 513-354-7651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022453
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: