Eugene Paul Bacolod, PTA
Physical Therapy Assistant in Winter Garden, FL. Individual provider (NPI-1).
NPI number1447809694
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1447809694
- Entity type
- Individual (NPI-1)
- Name
- Eugene Paul Bacolod
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 29471 | FL | Yes |
Practice location
15204 W Colonial DrWinter Garden, FL 34787-6042
Phone 407-877-2394
Mailing address
646 W Smith St Unit 349Orlando, FL 32804-5381
Phone 832-512-0505
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Winter Garden, FL
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All 24 Physical Therapy Assistant providers in Winter Garden · All 1,733 providers in Winter Garden
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