Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Bacon

Individual provider Orthopedic Physical Therapist · NPI 1073094298

Andrew Bacon is a Physical Therapist in Private Practice in Ardmore, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Cloudline Physical Therapy LLC, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018

Practice location Address checks out

120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209
Phone: (484) 297-6491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1073094298
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2018
Last updated in NPPESAugust 25, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cloudline Physical Therapy Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ardmore