Marissa Bacon, PT, DPT
NPI 1073068722 · Physical Therapist · Kenosha, WI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Bacon, PT, DPT is a Physical Therapist provider in Kenosha, WI (NPI 1073068722).
Provider details
- NPI number
- 1073068722
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 13544-24 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-23
- Last updated
- 2021-11-19
- Certified
- 2021-11-19
Frequently asked questions
- What is Marissa Bacon's NPI number?
- Marissa Bacon's National Provider Identifier (NPI) is 1073068722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Bacon's specialty?
- Marissa Bacon is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Marissa Bacon located?
- Marissa Bacon's practice location on file with NPPES is 10400 75th St, Kenosha, WI 53142-7884.
- What is Marissa Bacon's phone number?
- The practice phone number listed in the NPPES registry for Marissa Bacon is (262) 948-3600.
- Does Marissa Bacon accept Medicare?
- Marissa Bacon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Bacon's NPI active?
- Yes — Marissa Bacon's NPI (1073068722) is active in the NPPES registry as of the last update on 2021-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.