Barbara L Gardner, LPTA – Physical Therapy Assistant

Key facts

NPI: 1124251749
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 00168 (OH)
Practice address: 602 Tournament Dr
Avon Lake, OH 44012-2284
Phone: (440) 933-6855
Fax: (440) 933-6855
NPI assigned: Aug 30, 2009
Sex: Female
Sole proprietor: No

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.

Just in Time Therapy, Inc Physical Therapist · Avon Lake, OH · NPI 1972732774

NPD (past)
Vox Solutions, LLC General Practice Physician · Avon, OH · NPI 1093956997

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
00168	OH	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
Vox Solutions, LLC		Past	Accepting new patients
Just in Time Therapy, Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	00168	OH	Yes

Addresses

Primary practice location

602 Tournament Dr
Avon Lake, OH 44012-2284

Mailing address

602 Tournament Dr
Avon Lake, OH 44012-2284
Phone (440) 933-6855

Other providers in Avon Lake, OH

All providers in Avon Lake, OH · Physical Therapy Assistant in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.