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

Tammy Baccus, PTA, DOR

Individual provider Physical Therapy Assistant · NPI 1912574765

Tammy Baccus, PTA, DOR is a Physical Therapy Assistant in Fuquay Varina, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Broad St
Fuquay Varina, NC 27526-3602
Phone: (919) 424-5080
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3943 (NC)

Record details

NPI number1912574765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , DOR
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Other providers in Fuquay Varina