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Nicole Ann Bacon, PT

NPI 1437340361ActiveIndividual· Physical Therapist· Bristol, CT

Physical Therapist (PT) in Bristol, Connecticut, licensed in CT, with an NPI issued in August 2007. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1437340361
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedAug 6, 2007
Last updated in NPPESJan 5, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X008144CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (CT)

Medicare sources and data years

Education and affiliations

Graduation year2007
Medicare specialtyPhysical Therapist In Private Practice

Source: CMS Care Compare

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