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

Individual provider Physical Therapist · NPI 1710253323

Miriam P Bacon, PT, DPT is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12-18 Ellwood St
New York, NY 10040
Phone: (121) 569-0327
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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 025122-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA01208300 (NJ)

Record details

NPI number1710253323
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012

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