Juliet C Barnard, PT

Individual provider Active NPI Physical Therapist · Ellenton, FL

NPI 1114065992 · NPPES record last updated Apr 6, 2011

Key facts

NPI
1114065992
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 16397 (FL)
Practice address
5814 French Creek CT
Suite 100
Ellenton, FL 34222-5204
Phone
(727) 541-5304
Fax
(727) 546-8527
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 16397FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 16397 FL Yes

Addresses

Primary practice location

5814 French Creek CT
Suite 100
Ellenton, FL 34222-5204

Mailing address

5814 French Creek CT
Ellenton, FL 34222-5204
Phone (941) 722-6795

Other identifiers

IdentifierTypeStateIssuer
890593200MedicaidFL

Other providers in Ellenton, FL

All providers in Ellenton, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.