Active NPI
Michael Edward Barry, M.P.T.
- Specialist
- Reno, NV
National Provider Identifier
1144301417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1491
- Practice address
- 15 McCabe Dr Ste 101
Reno, NV 89511-4815 - Phone
- (775) 788-5599
- Fax
- (775) 788-5598
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1491 | NV | Primary |
Addresses
Primary practice location
15 McCabe Dr Ste 101
Reno, NV 89511-4815
Mailing address
15 McCabe Dr Ste 101
Reno, NV 89511-4815
Phone (775) 788-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090529000345 | NV | Practitioner - Physical Therapist in Private Practice | 0345399044 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sidener Physical Therapy LLC
Practice addresses (Care Compare)
15 McCabe Dr
Suite 101
Reno, NV 89511-4815
Phone (775) 788-5599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1491 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidener Physical Therapy LLC | Specialist | Current | Accepting new patients |
Locations
15 McCabe Dr
Ste 101
Reno, NV 89511
Phone (775) 331-3030
4798 Caughlin Pkwy
Ste B
Reno, NV 89519
Phone (775) 284-4774
970 Roberta Ln
Ste 100
Sparks, NV 89431
Phone (775) 331-3030
Organizations & group practices 1
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": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1144301417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MCCABE DR STE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895114815",
"telephone_number": "775-788-5599",
"fax_number": "775-788-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MCCABE DR STE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895114815",
"telephone_number": "775-788-5599",
"fax_number": "775-788-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "1491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.