Timothy Patrick Bonacum, PT, DPT, ATC
NPI 1164990461ActiveIndividual· Physical Therapist· Middletown, OH
Physical Therapist (PT, DPT, ATC) with Athletico Ltd, practicing in Middletown, Ohio. Medicare paid $29,933 for services to 97 patients in 2024.
Overview
| NPI | 1164990461 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC |
| Sole proprietor | No |
| NPI issued | Nov 5, 2018 |
| Last updated in NPPES | Jun 5, 2025 |
| Certified by provider | Jun 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT020936 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL); Practitioner - Physical Therapist in Private Practice (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 1,563 across 11 procedure codes |
| Paid by Medicare | $29,933 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
Other Physical Therapist providers in Middletown
- 1497149413
- 1659097178
- 1518218585
- 1548782220
- 1336629724
- 1154475341
- 1073669925
- 1801800842
- 1932581006
- 1518981919
- 1215453345
- 1497684955