Marissa Bacon, PT, DPT
Physical Therapist · Kenosha, WI
Marissa Bacon, PT, DPT is a physical therapist with a practice address in Kenosha, Wisconsin, and NPI 1073068722, issued on Aug 23, 2016. Check the license (Wisconsin 13544-24, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Marissa Bacon
- Credential
- PT, DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 13544-24 WI
Self-reported in NPPES; status is on the state search - Practice location
- 10400 75TH St, Kenosha, WI 53142
- Phone
- (262) 948-3600
- Enumerated
- Aug 23, 2016
- Record last updated
- Nov 19, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190806001620); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 6,585 in Wisconsin → Look up another NPI →
Also registered at 10400 75TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Nancy Aiello, NPNurse Practitioner1821427568
- Nicholas Alessi, NPNurse Practitioner1427714773
- Mary Ames, MDMaternal & Fetal Medicine Physician1215989751
- Alby Antoo, MDFamily Medicine Physician1407864093
- Elizabeth Antoo, MDFamily Medicine Physician1760422240
Verify Marissa Bacon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 13544-24Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Aurora Medical Group, Inc.Greenfield, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marissa Bacon among 6,585 physical therapist records in Wisconsin
Marissa Bacon, PT, DPT is one of 6,585 physical therapist records with a practice address in Wisconsin. 27% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 60% of them.
- NPI issued2016 · 60% of these records are older, 36% newer
- In a Medicare fileYes · 27% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2016 · median 2015 among the 1,788 with a school on file
- Record last updated2021 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
128 physical therapist records list a practice address in Kenosha
They are 128 of the 1,852 NPPES records with a practice address in Kenosha, and 6,585 physical therapist records in Wisconsin.
All 6,585 in Wisconsin → Every provider in Kenosha → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Ottie Bruno, PTKenosha, WI 531421346441524
- Karen Gottschalk, PTKenosha, WI 531421316166606
- William Letsom, PTKenosha, WI 531421356330609
- Erwin Lim, PTKenosha, WI 531421104030303
- Teresa Nefzger, PTKenosha, WI 531421134331507
- Jerome Novak, PTKenosha, WI 531421861424202
- Timothy Risler, P.T., L.A.TKenosha, WI 531421306057575
- Ryan Schaul, MPTKenosha, WI 531421881781151
Common questions
What is Marissa Bacon, PT, DPT's NPI number?
Marissa Bacon, PT, DPT's National Provider Identifier (NPI) is 1073068722, issued on Aug 23, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Marissa Bacon, PT, DPT located?
The NPPES record lists a practice address at 10400 75TH St, Kenosha, WI, 53142. Phone: (262) 948-3600. Providers update this record themselves, so call before visiting.
How can I verify Marissa Bacon, PT, DPT's license?
NPPES lists Wisconsin license number 13544-24, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.