Individual provider · Type 1 NPI

John M. Dibacco, PT

Specialist · Elkins, WV

NPI number 1275536906 Active

Practice location

911 Gorman Ave, Ste 103
Elkins, WV 26241-3154

Call (304) 636-1548 Map

Fax (304) 636-1566

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X001857 (WV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275536906

John M. Dibacco, PT's National Provider Identifier is 1275536906, issued on May 27, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Elkins, WV. The record was last updated on Jul 13, 2026.