Tiffani Starkes Bacon, PT, DPT
NPI 1407911381ActiveIndividual· Physical Therapist· North Charleston, SC
Physical Therapist (PT, DPT) in North Charleston, South Carolina, licensed in SC and MD, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1407911381 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2006 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10015 | SC |
| Physical Therapist | 225100000X | CP039211T-MD | MD |
| Physical Therapist, Pediatrics | 2251P0200X | 10015 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|
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