Active NPI
Ashean Bacon
- Physical Therapist
- Hot Springs, SD
National Provider Identifier
1235913526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2034
- Practice address
- 201 S River St Apt 314
Hot Springs, SD 57747-2328 - Phone
- (217) 979-5135
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2034 | SD | Primary |
Addresses
Primary practice location
201 S River St Apt 314
Hot Springs, SD 57747-2328
Mailing address
201 S River St Apt 314
Hot Springs, SD 57747-2328
Phone (217) 979-5135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2034 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1235913526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S RIVER ST APT 314",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577472328",
"telephone_number": "217-979-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S RIVER ST APT 314",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577472328",
"telephone_number": "217-979-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACON",
"first_name": "ASHEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.