NICOLE ANN BACON PT
NPI 1437340361
Physical Therapist in Bristol, CT

Active since August 06, 2007
255 N MAIN ST, BRISTOL, CT 06010(860) 589-1881(860) 583-1512 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Ann Bacon Pt NPPES

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

NICOLE ANN BACON PT (NPI 1437340361) is an individual physical therapist in Bristol, Connecticut, licensed in Connecticut (008144) and active in the NPI registry since August 2007. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1437340361
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE ANN BACONCredential: PT
Location Address255 N MAIN STBristol, CT 06010-4972
Mailing Address255 N Main StBristol, CT 06010-4972 · (860) 589-1881 · Fax (860) 583-1512
Fax(860) 583-1512
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2007
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1437340361 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 CT · 008144
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.
255 N MAIN ST, Bristol, CT 06010

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ann Bacon Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840768347
PECOS Enrollment IDI20260504005326

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
505 WILLARD AVE, BUILDING 1, SUITE 1D
Newington, CT 06111
  • Reassigned Medicare billing, Connecticut enrollment
  • 101 clinicians in this Medicare group
Physical Therapist
59 WENDELL LN
Glastonbury, CT 06033
  • Reassigned Medicare billing, Connecticut enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010
Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010
Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010
Specialist/Technologist (Athletic Trainer)
255 N MAIN ST
BRISTOL, CT 06010
Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010
Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010
Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010
Physical Therapist
255 N MAIN ST
BRISTOL, CT 06010

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 Nicole Bacon's NPI number?

The NPI number for Nicole Bacon is 1437340361. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Nicole Bacon located?

Nicole Bacon practices at 255 N Main St, Bristol, CT 06010. The listed phone number is (860) 589-1881.

What is Nicole Bacon's specialty?

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

Is Nicole Bacon enrolled in Medicare?

Yes. Nicole Bacon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bacon reassigns Medicare benefits to 2 organizations: Ptsma, Inc. (Newington, CT) and Powerback Rehabilitation LLC (Glastonbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bacon accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole 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 Nicole Bacon was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.