Michele Bacus, PT, DPT, GCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12489 Issued in NC

Practice address

2756 US Highway 64 E
Plymouth, NC 27962-8903

Phone

(252) 791-1006

NPI assigned

Oct 31, 2019

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roanoke Therapy ServicesGroup PAC ID 1052633484, 7 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.

• Roanoke Therapy Services

  • Specialist
  • Williamston, NC
  • NPI 1972910941

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Roanoke Therapeutic Services Inc

  • Pediatric Physical Therapist
  • Williamston, NC
  • NPI 1659440691
  NPD (past)

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1629612858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279628903",
            "telephone_number": "252-791-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279628903",
            "telephone_number": "252-791-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACUS",
        "first_name": "MICHELE",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adoration Home Health Care Virginia, LLC
• Albemarle Mental Health Center
• Albemarle Mental Health Center
• Amedisys Hospice, LLC
• Amoni Health Services Inc PLLC
• Summer Baker, RN
• Beaufort County Hospital Association Inc
• Karen Bell
• Lerachia Bell, LAB DIRECTOR
• Bio-Medical Applications of North Carolina, Inc.

• All providers in Plymouth, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.