Individual provider Active NPI

Robert Michael Bacci, PT

  • Ergonomics Physical Therapist
  • Visalia, CA
National Provider Identifier
1013936475
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
License
PT6969 Issued in CA
Practice address
5533 W Hillsdale Ave
Suite a
Visalia, CA 93291-5138
Phone
(559) 733-2478
Fax
(559) 733-2470
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6969 CA
Geriatric Physical Therapist 2251G0304X PT6969 CA
Hand Physical Therapist 2251H1200X PT6969 CA
Neurology Physical Therapist 2251N0400X PT6969 CA
Pediatric Physical Therapist 2251P0200X PT6969 CA
Sports Physical Therapist 2251S0007X PT6969 CA
Orthopedic Physical Therapist 2251X0800X PT6969 CA
Ergonomics Physical Therapist 2251E1200X PT6969 CA Primary

Addresses

Primary practice location

5533 W Hillsdale Ave
Suite a
Visalia, CA 93291-5138

Mailing address

PO Box 7779
Visalia, CA 93290-7779
Phone (559) 733-2478

Other identifiers 3

IdentifierTypeStateIssuer
00PT69690OtherCABLUE SHIELD
00PT69690MedicaidCA
00PT69690OtherCABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111215000935 CA Practitioner - Physical Therapist in Private Practice 1759298409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bacci and Glinn Physical Therapy Inc.Group PAC ID 4183520901, 7 clinicians

Practice addresses (Care Compare)

5533 W Hillsdale Ave
Suite a
Visalia, CA 93291-5367
Phone (559) 733-2478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6969CAMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bacci and Glinn Physical Therapy Inc CurrentSince Jul 1, 2001 Accepting new patients
Bacci and Glinn Physical Therapy Inc CurrentSince Jul 1, 2001 Accepting new patients

Locations

331 N 11th Ave
Hanford, CA 93230
Phone (559) 582-1027

5533 W Hillsdale Ave
Ste A
Visalia, CA 93291
Phone (559) 733-2478

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1013936475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7779",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907779",
            "telephone_number": "559-733-2478",
            "fax_number": "559-733-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 W HILLSDALE AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915138",
            "telephone_number": "559-733-2478",
            "fax_number": "559-733-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCI",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT6969",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT6969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00PT69690",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PT69690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00PT69690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.