JENNIFER SUZANNE BACON PTA
NPI 1417693094
Physical Therapy Assistant in Fort Collins, CO

Active since May 07, 2022
1020 PATTON ST, FORT COLLINS, CO 80524(970) 484-7981 Get Directions Write a Review

NPPES record last updated: May 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Suzanne Bacon Pta NPPES

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

JENNIFER SUZANNE BACON PTA (NPI 1417693094) is a physical therapy assistant provider in Fort Collins, Colorado, licensed in Colorado (PTA.0012574) and active in the NPI registry since May 2022.Information from the official NPPES registry record, last updated May 7, 2022.

NPPES Registry Identity

NPI1417693094
Entity TypeIndividualFemale
Provider Legal NameJENNIFER SUZANNE BACONCredential: PTA
Location Address1020 PATTON STFort Collins, CO 80524-4018
Mailing Address4125 Saddle Notch DrFort Collins, CO 80526-3572 · (970) 231-3338
Sole ProprietorYes
Enumeration DateMay 7, 2022
NPPES CertifiedMay 6, 2022
NPI 1417693094 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physical Therapy Assistant

Taxonomy 225200000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in CO · PTA.0012574

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency… Show more

1020 PATTON ST, Fort Collins, CO 80524

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Speech-Language Pathologist
1020 PATTON ST
FORT COLLINS, CO 80524
Assisted Living Facility
1020 PATTON ST
FORT COLLINS, CO 80524
Speech-Language Pathologist
1020 PATTON ST
FORT COLLINS, CO 80524
Occupational Therapist
1020 PATTON ST
FORT COLLINS, CO 80524
Speech-Language Pathologist
1020 PATTON ST
FORT COLLINS, CO 80524
Skilled Nursing Facility
1020 PATTON ST
FORT COLLINS, CO 80524
Respite Care
1020 PATTON ST
FORT COLLINS, CO 80524

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417693094, enumerated as an "individual" on May 07, 2022.

The provider is located at 1020 PATTON ST FORT COLLINS, CO 80524 and the phone number is (970) 484-7981.

Physical Therapy Assistant with taxonomy code 225200000X.