Active NPI
Kristen Bacik, PT, DPT
- Physical Therapist
- Avon, OH
National Provider Identifier
1881014199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- .014667
- Practice address
- 33100 Cleveland Clinic Blvd
Avon, OH 44011-1390 - Phone
- (440) 695-4000
- Fax
- (440) 695-4198
- NPI assigned
- Apr 25, 2014
- 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 | .014667 | OH | Primary |
Addresses
Primary practice location
33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Mailing address
33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .014667 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1881014199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "440-695-4000",
"fax_number": "440-695-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "440-695-4000",
"fax_number": "440-695-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACIK",
"first_name": "KRISTEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": ".014667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.