Janice J Bacak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11129 Issued in OH

Practice address

36759 Rocksprings Rd
Pomeroy, OH 45769-9730

Phone

(740) 992-6606

Fax

(740) 992-2678

NPI assigned

Jun 29, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Resilience Pelvic Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Beachwood, OH
  • NPI 1528680410
  NPD Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285831537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SPRING ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36759 ROCKSPRINGS RD",
            "city": "POMEROY",
            "state": "OH",
            "postal_code": "457699730",
            "telephone_number": "740-992-6606",
            "fax_number": "740-992-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACAK",
        "first_name": "JANICE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "11129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410817",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan H. Anderson, PT
• Lesa Ann, LPN
• Alicia Arman
• Athens-Meigs Educational Service Center
• Megan Austin, PH.D.
• A Jackson Bailes, OD
• Allison G Barnett, MPT
• Jessica Katherine Elaine Barnett, M.A., CCC-SLP
• Halley Barnette
• Jessyca Barnette

• Physical Therapist in Pomeroy, OH
• Providers in Pomeroy, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.