| Timothy Patrick Bonacum, PT, DPT, ATC | |
|
323 N Breiel Blvd, Middletown, OH 45042-3868 | |
| (513) 420-1700 | |
| (513) 420-9700 |
| Full Name | Timothy Patrick Bonacum |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 323 N Breiel Blvd, Middletown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164990461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT020936 (Ohio) | Primary |
| Provider Name | Palm Beach Orthopaedic Institute Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184796245 PECOS PAC ID: 0547153389 Enrollment ID: O20040205000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Patrick Bonacum, PT, DPT, ATC 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Timothy Patrick Bonacum, PT, DPT, ATC 323 N Breiel Blvd, Middletown, OH 45042-3868 Ph: (513) 420-1700 |
Joint Worx Wellness Center Physical Therapist Medicare: Medicare Enrolled Practice Location: 253 N Breiel Blvd, Middletown, OH 45042 Phone: 513-433-1117 Fax: 513-433-1119 | |
Bethany Day, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4710 Timber Trail Dr, Middletown, OH 45044 Phone: 513-423-9496 Fax: 513-727-3806 | |
Mrs. Marjorie Anne Kochunas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1324 Middletown Eaton Rd, Middletown, OH 45042 Phone: 513-420-4755 | |
Dale Alan Danielson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 323 N Breiel Blvd, Middletown, OH 45042 Phone: 513-420-1700 Fax: 513-420-9700 | |
Karl Koenig, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 N Breiel Blvd, Middletown, OH 45042 Phone: 513-420-1700 Fax: 513-420-9700 | |
Kasey Birchfield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 Timber Trail Dr, Middletown, OH 45044 Phone: 937-689-7819 |