NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Fork Physical Therapy, Pllc

Physical Therapist in Emory, TX · enumerated 2007 · authorized official Paul Bacon, Licensed Physical Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154540540

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Lake Fork Physical Therapy, Pllc
Practice address 903 East Lennon Street, Suite 101, Emory, TX, 75440
Phone (903) 474-9436
Enumeration date Apr 24, 2007
Last updated in NPPES Jul 8, 2014

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1124006 (TX) Primary

Authorized official

Name Paul Bacon
Title Licensed Physical Therapist
Phone (903) 474-9436

Other identifiers

Identifier Type State Issuer
00X464 Other TX MEDICARE GROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Lake Fork Physical Therapy, Pllc?
The NPI for Lake Fork Physical Therapy, Pllc is 1154540540, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Fork Physical Therapy, Pllc?
NPPES lists Paul Bacon (Licensed Physical Therapist) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-08.