William John Bacon, PTA
NPI 1902168669ActiveIndividual· Physical Therapy Assistant· Webster, SD
Physical Therapy Assistant (PTA) in Webster, South Dakota, licensed in NY and TX, with an NPI issued in June 2012.
Overview
| NPI | 1902168669 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Jun 8, 2012 |
| Last updated in NPPES | Jul 15, 2020 |
| Certified by provider | Jul 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 008793 | NY |
| Contractor | 171W00000X | 2061050 | TX |
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) | Not in the public enrollment file of Oct 1, 2026 |
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