Marcus Bacon
Physical Therapist in Berlin, Connecticut
1821105693- Practice location
- 1138 Farmington Ave, Berlin, CT 06037
- Phone
- 860-829-5511
- Fax
- 860-829-5577
- Last updated
- January 23, 2020
Marcus Bacon is a Physical Therapist based in Berlin, CT. Marcus Bacon practices in Berlin, CT. The NPI Number for Marcus Bacon is 1821105693. The current practice location address for Marcus Bacon is 1138 Farmington Ave, Berlin, CT 06037 and can be reached out via phone at 860-829-5511 and via fax at 860-829-5577.
Provider Profile Details
- NPI Number
- 1821105693
- Provider Name
- Marcus Bacon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1138 Farmington Ave, Berlin, CT 06037
- Phone Number
- 860-829-5511
- Fax Number
- 860-829-5577
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 25, 2006
- Last Update Date
- January 23, 2020
- Certification Date
- January 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1138 Farmington Ave
Berlin, CT 06037 - City
- Berlin
- State
- Connecticut
- Zip
- 06037
- Phone Number
- 860-829-5511
- Fax Number
- 860-829-5577
Provider Business Mailing Address Details
- Address
- 1138 Farmington Ave
P.o. Box 452
Berlin, CT 06037 - City
- Berlin
- State
- CT
- Zip
- 06037
- Phone Number
- 860-829-5511
License Information
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marcus Bacon?
The NPI number of Marcus Bacon is 1821105693. It was assigned on August 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Marcus Bacon?
Marcus Bacon is registered under the primary taxonomy Physical Therapist (code 225100000X).
Where does Marcus Bacon practice?
The practice location is 1138 Farmington Ave, Berlin, CT 06037. The office can be reached at 860-829-5511 (phone) or 860-829-5577 (fax).
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 1821105693 directly on the NPPES registry website.