Individual provider Active NPI

Johnathan William Barber, D.P.T.

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1013366913
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5194 Issued in OK
Practice address
7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057
Phone
(918) 216-9303
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5194 OK Primary

Addresses

Primary practice location

7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057

Mailing address

5336 E 81St St
Tulsa, OK 74137-2224
Phone (918) 231-0488

Other practice location 1

12221 E 51st St Ste A
Tulsa, OK 74146-6216
Phone (918) 249-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712000261 OK Practitioner - Physical Therapist in Private Practice 3072805001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Mobile Health Care Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Select Physical Therapy Holdings Inc PastSince May 27, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1013366913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372224",
            "telephone_number": "918-231-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 RIVERSIDE PKWY UNIT 219",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365057",
            "telephone_number": "918-216-9303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 E 51st St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741466216",
            "country_code": "US",
            "telephone_number": "918-249-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBER",
        "first_name": "JOHNATHAN",
        "middle_name": "WILLIAM",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.