John M. Dibacco, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

001857 Issued in WV

Practice address

911 Gorman Ave
Ste 103
Elkins, WV 26241-3154

Phone

(304) 636-1548

Fax

(304) 636-1566

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Physical Therapy AssociatesGroup PAC ID 9931375417, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthopedic Physical Therapy Associates

  • Physical Therapy Clinic/Center
  • Elkins, WV
  • NPI 1568748382
  Medicare reassignment Care Compare group NPD Authorized official
• Baird Physical Therapy

  • Physical Therapist
  • Elkins, WV
  • NPI 1356435648
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275536906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 GORMAN AVE",
            "address_2": "STE 103",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413154",
            "telephone_number": "304-636-1548",
            "fax_number": "304-636-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GORMAN AVE",
            "address_2": "STE 103",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413154",
            "telephone_number": "304-636-1548",
            "fax_number": "304-636-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBACCO",
        "first_name": "JOHN",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "001857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150180000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Deshays
• Ellen Deuley
• Alannah Rose Deusenberry
• Erin Brooke Dibacco, M.S. CCC/SLP
• Jerome Dibacco
• Lori Marie Dibacco, MS,CCC/SLP
• Debra Dickinson
• Michele Dilks
• DMH Endoscopy Center
• Ellen Dodd

• Specialist in Elkins, WV
• Providers in Elkins, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.