Active NPIIndividual provider

Robbie Bacon, PTA, CLT

Physical Therapy Assistant in Malaga, New Jersey

NPI Number1548659972
Practice location
10 Defiance RD, Malaga, NJ 08328-4324
Fax
—
Last updated
January 22, 2015

Robbie Bacon is a Physical Therapy Assistant based in Malaga, NJ. Robbie Bacon practices in Malaga, NJ and has the professional credentials of PTA, CLT. The NPI Number for Robbie Bacon is 1548659972 and holds a License No. 40qboo283300 (NJ). The current practice location address for Robbie Bacon is 10 Defiance RD, Malaga, NJ 08328-4324 and can be reached out via phone at 856-793-8662.

Provider Profile Details

NPI Number
1548659972
Provider Name
Robbie Bacon
Credential
PTA, CLT
Provider Entity Type
Individual
Gender
Female
Address
10 Defiance RD, Malaga, NJ 08328-4324
Phone Number
856-793-8662
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 22, 2015
Last Update Date
January 22, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Defiance RD
Malaga, NJ 08328-4324
City
Malaga
Zip
08328-4324
Phone Number
856-793-8662
Malaga, NJ 08328Get directions →

Provider Business Mailing Address Details

Address
10 Defiance RD
Malaga, NJ 08328-4324
City
Malaga
State
NJ
Zip
08328-4324
Phone Number
856-793-8662

License Information

License Number
40qboo283300
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Robbie Bacon, PTA, CLT?

The NPI number of Robbie Bacon, PTA, CLT is 1548659972. It was assigned on January 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Robbie Bacon, PTA, CLT?

Robbie Bacon, PTA, CLT is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40qboo283300.

Where does Robbie Bacon, PTA, CLT practice?

The practice location is 10 Defiance RD, Malaga, NJ 08328-4324. The office can be reached at 856-793-8662 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548659972 directly on the NPPES registry website.

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