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

Ian James Bacolod, PT

Individual provider Physical Therapist · NPI 1093066532

Ian James Bacolod, PT is a Physical Therapist in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

139 N Capistrano Dr
Jefferson City, MO 65109-6179
Phone: (573) 893-6706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 100687 (MO)

Record details

NPI number1093066532
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 24, 2012
Last updated in NPPESSeptember 24, 2012

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