KRISTIN M BACON (NPI# 1679618144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679618144 |
| Entity Type | Individual |
| Full Name | KRISTIN M BACON |
| Other Name | KIDABILITY PHYSICAL THERAPY, LLC |
| Credential | PT |
| Practice Address |
12801 Jeanne Rd Anchorage AK 99516-3347 |
| Mailing Address |
Po Box 112693 Anchorage AK 99511-2693 |
| Practice Telephone | 9072300402 |
| Practice Fax Number | 9077705755 |
| Mailing Telephone | 9077705557 |
| Mailing Fax Number | 9077705755 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1159 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PT9331 | 05 | |
| AK | BUSINESS LICENSE | 419964 | 01 |
| Street Address |
12801 JEANNE RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99516-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
| 1184038457 | Christine L Longly | Nurse Practitioner | 11331 Ridgecrest Drive, Anchorage, AK 99516 | 2014-06-16 |
| 1700136033 | Marathon Sports and Orthopedics | Durable Medical Equipment & Medical Supplies | 7701 Upper Dearmoun Road, Anchorage, AK 99516 | 2012-09-13 |
| 1164796389 | Karen Coombs-marcey | Pharmacist | 11300 Mael St, Anchorage, UT 99516 | 2012-03-06 |
| 1265616783 | Karen Pudge Dba Forget-me-not Care Coordination | Case Manager/Care Coordinator | 4350 E 145th Avenue, Anchorage, AK 99516 | 2007-12-19 |
| 1588640122 | Debbie A Dragich | Anesthesiology | 11019 Baronik St, Anchorage, AK 99516 | 2005-12-15 |
| 1427665280 | Alaska Monitoring Associates, Inc. | Specialist/Technologist, Other | 11641 Woodbourne Dr, Anchorage, AK 99516-1279 | 2020-09-25 |
| 1306170931 | Heather Reier | Doula | 11026 Forest Dr, Anchorage, AK 99516-1303 | 2009-09-30 |
| 1487284741 | Kirt J Beck | Registered Nurse | 11548 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2020-01-24 |
| 1972735272 | Susan Veatch Pettis | Physical Therapist | 11551 Tanglewood Lakes Cir, Anchorage, AK 99516-1304 | 2009-08-20 |
| Find all providers in zip 99516 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437370855 | All for Kids Pediatric Therapy Clinic | Physical Therapist | 6927 Old Seward Hwy., Suite 100, Anchorage, AK 99577-2283 | 2007-05-01 |
| 1316081466 | Karen Elizabeth Adams | Physical Therapist | 6311 Debarr Rd, Suite J, Anchorage, AK 99504-1701 | 2007-02-20 |
| 1164571238 | Programs for Infants & Children, Inc | Physical Therapist | 3330 Arctic Blvd Ste 101, Anchorage, AK 99503-4580 | 2007-01-09 |
| 1932713450 | Nathaniel G Busbee | Physical Therapist | 6927 Old Seward Hwy Ste 100, Anchorage, AK 99518-2283 | 2020-09-02 |
| 1801414685 | Brandon Chagnon | Physical Therapist | 207 E Northern Lights Blvd Ste 101, Anchorage, AK 99503-2730 | 2020-07-08 |
| 1124504618 | Hannah Iverson | Physical Therapist | 6927 Old Seward Hwy Ste 100, Anchorage, AK 99518 | 2018-07-17 |
| 1285066688 | Kristen Kay Wermager | Physical Therapist | 4600 Business Park Blvd Ste D-24, Anchorage, AK 99503 | 2013-08-07 |
| 1689914970 | Stacie N Morgan | Physical Therapist | 4325 Laurel St, Suite 102, Anchorage, AK 99508-5364 | 2013-02-22 |
| 1972850774 | Ability Pediatric Physical Therapy, LLC | Physical Therapist | 4325 Laurel St, Suite 102, Anchorage, AK 99508-5364 | 2012-08-10 |
| 1700115318 | Tracie Michelle Cline | Physical Therapist | 8200 Homer Dr, Suite F, Anchorage, AK 99518-3330 | 2009-12-09 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.