Active NPI
Barry Dikes, MPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1104936863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6913 Camp Bowie Blvd
#107
Fort Worth, TX 76116-7163 - Phone
- (817) 737-0006
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6913 Camp Bowie Blvd
#107
Fort Worth, TX 76116-7163
Mailing address
6913 Camp Bowie Blvd
#107
Fort Worth, TX 76116-7163
Phone (817) 737-0006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1098580 | Other | TX | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1104936863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 CAMP BOWIE BLVD",
"address_2": "#107",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167163",
"telephone_number": "817-737-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 CAMP BOWIE BLVD",
"address_2": "#107",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167163",
"telephone_number": "817-737-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIKES",
"first_name": "BARRY",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "1098580",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.