Kristin M Bacon, PT | |
12801 Jeanne Rd, Anchorage, AK 99516-3347 | |
(907) 230-0402 | |
(907) 770-5755 |
Full Name | Kristin M Bacon |
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Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 12801 Jeanne Rd, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679618144 | NPI | - | NPPES |
PT9331 | Medicaid | AK | |
419964 | Other | AK | BUSINESS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 1159 (Alaska) | Primary |
Provider Name | Kidability Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891034575 PECOS PAC ID: 9638405111 Enrollment ID: O20190722000858 |
Mailing Address | Practice Location Address |
---|---|
Kristin M Bacon, PT Po Box 112693, Anchorage, AK 99511-2693 Ph: (907) 770-5557 | Kristin M Bacon, PT 12801 Jeanne Rd, Anchorage, AK 99516-3347 Ph: (907) 230-0402 |
Katrina F Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662 | |
Jessie Lief, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4031 Winchester Loop, Anchorage, AK 99507 Phone: 907-244-8048 | |
Zoe Anneliese Morris Nelson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1917 Abbott Rd Ste 200, Anchorage, AK 99507 Phone: 907-279-4266 | |
Normajean Farr, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2221 E Northern Lights Blvd, Suite 106, Anchorage, AK 99508 Phone: 907-677-5605 | |
Mary Beth Nearing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 W 42nd Ave, Anchorage, AK 99503 Phone: 907-360-9448 Fax: 907-346-1470 | |
Kids Are People Too Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6311 Debarr Rd, Suite J, Anchorage, AK 99504 Phone: 907-830-3592 Fax: 907-338-4691 | |
Ms. Catherine A Coward, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9500 Independence Dr, Ste 900, Anchorage, AK 99507 Phone: 907-522-1341 Fax: 907-522-1343 |