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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIFFANI S BACON, PT, DPT

Active Sole Proprietor

MRS. TIFFANI S BACON, PT, DPT is a Physical Therapy Assistant healthcare provider located in SAN DIEGO, California. NPI 1407911381 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN DIEGO, CA

Registration Details

NPI Number
1407911381
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2006 (19.646480083077 yrs)
Last Updated
Jan 15, 2025
Licenses
10015 (SC)
9900 (NC)
9900 (NC)
10015 (SC)
CP039211T-MD (MD)
Sole Proprietor
Yes

Practice Information

Address
5930 CORNERSTONE CT W STE 300
SAN DIEGO, CA, 921213772
Browse CA providers · Browse ZIP 92121
Phone
8666877390
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SAN DIEGO, CA

Name Credential NPI
JAMES WRAY P.T. 1942203328
MR. NORMAN G. HARDMAN PT 1306840657
MS. GLORIA THERESA SIGAFOOS PT OCS CHT 1851392120
CHRISTI LEE DUFFIELD PT 1750366845
LYNN STEIGERWALD PT 1841275922
SEAN MICHAEL MCKEOWN PHYSICAL THERAPIST 1902881881
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.