Active NPI
John Paul Accrocco, PT
- Physical Therapist
- Bellbrook, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.004448
- Practice address
- 4403 State Route 725
Suite B
Bellbrook, OH 45305-2700 - Phone
- (937) 848-8882
- NPI assigned
- Jan 30, 2007
- Last updated
- Sep 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.004448 | OH | Primary |
Addresses
Primary practice location
4403 State Route 725
Suite B
Bellbrook, OH 45305-2700
Mailing address
155 S Tuttle Rd
Springfield, OH 45505-1560
Phone (937) 848-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2513515 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 S Tuttle Rd
Springfield, OH 45505-1560
Phone (937) 717-6436
1550 Yankee Park PL
Suite a
Centerville, OH 45458-1838
Phone (937) 439-4949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.004448 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KNCC Enterprise, LLC | Physical Therapist | Current | Accepting new patients |
| Pain Evaluation & Management Center of Ohio, Inc. | Physical Therapist | Current | Accepting new patients |
| KNCC Enterprise, LLC | Past | Accepting new patients |
Locations
Dept L2433
Columbus, OH 43260
1512 Yankee Park Pl
Dayton, OH 45458
Phone (937) 434-0099
1550 Yankee Park Pl
Ste A
Dayton, OH 45458
Phone (937) 439-4949
7774 Dayton Springfield Rd
Ste C
Fairborn, OH 45324
Phone (937) 340-6261
155 S Tuttle Rd
Springfield, OH 45505
Phone (937) 717-6436
Interoperability endpoints
- https://api.platform.athenahealth.com/7436/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Centerville, OH
- NPI 1811940182
Physical Therapist
-
- Physical Therapist
- Bellbrook, OH
- NPI 1265755144
-
- Durable Medical Equipment & Medical Supplies
- Springfield, OH
- NPI 1952836256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1215073564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 S TUTTLE RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051560",
"telephone_number": "937-848-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 STATE ROUTE 725",
"address_2": "SUITE B",
"city": "BELLBROOK",
"state": "OH",
"postal_code": "453052700",
"telephone_number": "937-848-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACCROCCO",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.004448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2513515",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellbrook, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.