MEDICARE: BIO ENHANCEMENT PHYSICAL THERAPY INC

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

General Provider Information

NPI Number	:	1265755144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO ENHANCEMENT PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	4403 STATE ROUTE 725
Second Line	:	SUITE B
City	:	BELLBROOK
State	:	OH
Zip	:	45305-2700
Country	:	US
Telephone Number	:	937-848-8882
Fax Number	:	937-848-8882

Provider Business Practice Location Address
First Line	:	4403 STATE ROUTE 725
Second Line	:	SUITE B
City	:	BELLBROOK
State	:	OH
Zip	:	45305-2700
Country	:	US
Telephone Number	:	937-848-8882
Fax Number	:	937-848-8882

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOHN PAUL ACCROCCO
Credential	:
Telephone Number	:	937-848-8882

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	01/19/2011

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