Miyo Siobhan Barossi, PT, DPT

Key facts

NPI

1154086189

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

40QA01919900 (NJ)

Practice address

666 Plainsboro Rd Ste 2000C
Plainsboro, NJ 08536-3048

Phone

(844) 234-8387

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Fox Rehabilitation Services Inc Physical Therapist · Wilmington, DE · NPI 1326092503
  Medicare reassignment Care Compare group NPD PA · PHYSICAL THERAPIST
• H2 Rehabilitation Extension Services, LLC Rehabilitation Clinic/Center · Nazareth, PA · NPI 1457706822
  Medicare reassignment NPD PA · PHYSICAL THERAPIST
• H2 Rehabilitation Extension Services LLC Physical Therapist · Collierville, TN · NPI 1841180155
  NPD PHYSICAL THERAPIST
• H2 Rehabilitation Extension Services, LLC Rehabilitation Clinic/Center · Milton, PA · NPI 1699215806
  NPD
• H2 Rehabilitation Extension Services, LLC Rehabilitation Clinic/Center · Boyertown, PA · NPI 1780039149
  NPD (past)

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Inc (1,169 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2023.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1154086189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD STE 2000C",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PLAINSBORO RD STE 2000C",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363048",
            "telephone_number": "844-234-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROSSI",
        "first_name": "MIYO",
        "middle_name": "SIOBHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028439",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01919900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Starnes Bartee, CNM
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• Marisa Leigh Baver-Woodruff, DNP
• Samuel Scott Becker, MD
• Allan Eric Bensky, OPTICIAN

All providers in Plainsboro, NJ · Physical Therapist in New Jersey