SOFIA BACON (P.T.) – Physical Therapist, NPI 1073057063

SOFIA BACON (P.T.) is a healthcare provider. based in Atlanta, Georgia. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 11-05528 (KS). The NPI Number for SOFIA BACON (P.T.) is 1073057063

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SOFIA BACON (P.T.)
NPI
1073057063
Phone
(913) 469-0503
Address
PO BOX 741331
Enumeration Date
9 December 2016
Last Update Date
9 December 2016

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9136810606
Graduation Year
2016 (10 years ago)
PAC ID
5890079818
Group Practice PAC ID
1153757174
Professional Enrollment ID
I20170310000860
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for SOFIA BACON (P.T.)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303741331

    Phone: (913) 469-0503

    Fax: (913) 469-5267

    Type: Mailing

  • 10600, Mastin Street, Overland Park, Johnson County, Kansas, 66212, United States

    OVERLAND PARK, KS 662125723

    Phone: (913) 681-0606

    Fax: (913) 338-1311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153757174View full group profile
NameSpecialtyState
-KS
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Can I cross-check SOFIA BACON (P.T.) using NPI 1073057063?
NPI 1073057063 belongs to SOFIA BACON (P.T.); compare other details if you need extra assurance.
Is SOFIA BACON (P.T.) shown as active in public data?
Registry records indicate SOFIA BACON (P.T.) maintains an active NPI.
What area of care is associated with SOFIA BACON (P.T.)?
SOFIA BACON (P.T.)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOFIA BACON (P.T.)?
Travel planning: use Atlanta, Georgia as the reference point for SOFIA BACON (P.T.), then confirm.
Does SOFIA BACON (P.T.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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