MS. MARISSA BACON PT, DPT
NPI 1073068722
Physical Therapist in Kenosha, WI

Active since August 23, 2016Accepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(262) 948-3600 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2021, Nov 10, 2016, Aug 23, 2016 (3 updates tracked since 2016).

About Ms. Marissa Bacon Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARISSA BACON PT, DPT (NPI 1073068722) is an individual physical therapist in Kenosha, Wisconsin, licensed in Wisconsin (13544-24) and active in the NPI registry since August 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1073068722
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMS. MARISSA BACONCredential: PT, DPT
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address10400 75th StKenosha, WI 53142-7884
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 23, 2016
Last NPPES UpdateNovember 19, 20213 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
NPI 1073068722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WI · 13544-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
10400 75TH ST, Kenosha, WI 53142

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Marissa Bacon Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062749617
PECOS Enrollment IDI20190806001620

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Bacon's NPI number?

The NPI number for Marissa Bacon is 1073068722. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Marissa Bacon located?

Marissa Bacon practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-3600.

What is Marissa Bacon's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Marissa Bacon enrolled in Medicare?

Yes. Marissa Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marissa Bacon accept?

Health plans from CareSource (Common Ground Healthcare) and Quartz list Marissa Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Bacon was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.