Charles Stewart Bacon, DPT

Physical Therapist · Augusta, KS

Individual Active NPI

NPI number 1417203233

Practice location

1503 Washington Ln
Augusta, KS 67010-1638
Phone
(316) 775-0700
Fax
(316) 775-9007

Open in Google Maps

NPI record

NPI
1417203233
Entity type
Individual (Type 1)
Enumeration date
July 30, 2012
Last updated
July 30, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 11-04429 KS

About Dr. Bacon

Charles Stewart Bacon, DPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1503 Washington Ln, Augusta, KS 67010-1638. The NPI number 1417203233 was assigned on July 30, 2012 and the record was last updated on July 30, 2012.

Dr. Bacon lists a license in the registry: #11-04429 (KS) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Stewart Bacon, DPT?

The NPI number is 1417203233.

What is the phone number of Dr. Bacon?

The phone number listed for the practice location is (316) 775-0700.

Where is Dr. Bacon located?

1503 Washington Ln, Augusta, KS 67010-1638.

What is the taxonomy code for Dr. Bacon?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Augusta

All Physical Therapist providers in Augusta, KS →