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

Nathan D Bacon, DPT

Individual provider Physical Therapist · NPI 1538725130

Nathan D Bacon, DPT is a Physical Therapist in Private Practice in West Lafayette, Indiana. Qualified in 2017, 9 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

307 Sagamore Pkwy W Ste 400
West Lafayette, IN 47906-1500
Phone: (765) 463-2200
Fax: (765) 463-3625
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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 05013332A (IN)

Record details

NPI number1538725130
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022
Mailing address5383 Austin Dr, Monticello, IN 47960-6531

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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