Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Bacon

Individual provider Orthopedic Physical Therapist · NPI 1073094298

Andrew Bacon is a Physical Therapist in Private Practice in Ardmore, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Cloudline Physical Therapy LLC, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018

Practice location Address checks out

120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209
Phone: (484) 297-6491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1073094298
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2018
Last updated in NPPESAugust 25, 2018
Mailing address120 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462-1420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cloudline Physical Therapy Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ardmore