Jared Waynes Barnes, PT DPT
Individual provider Active NPI Physical Therapist · Benbrook, TX
NPI 1154721249 · NPPES record last updated Sep 17, 2017
Key facts
- NPI
- 1154721249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1246937 (TX)
- Practice address
- 6080 Southwest Blvd
Benbrook, TX 76109-3912 - Phone
- (817) 731-9331
- Fax
- (817) 731-9882
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Complete Hometown Physical Therapy LLC
Endeavor Rehab Center Inc
Practice addresses (Care Compare)
203 N Main St
Hallettsville, TX 77964-2729
Phone (361) 798-3500
6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141126001515 | TX | Practitioner - Physical Therapist in Private Practice | 2567784655 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1246937 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Hometown Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Meredith S. Tittle, P.T., LLC | Physical Therapist | Current |
Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Past |
Accepting new patients | |
| Endeavor Rehab Center Inc | Physical Therapist | Past | Accepting new patients |
Locations
607 S Esplanade St
Ste 4
Cuero, TX 77954
Phone (361) 418-0033
203 N Main St
Hallettsville, TX 77964
Phone (361) 798-3500
4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215
105 Boehm Dr
Shiner, TX 77984
Phone (361) 594-8301
206 US Highway 77A S
Yoakum, TX 77995
Phone (361) 407-5091
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1246937 | TX | Yes |
Addresses
Primary practice location
6080 Southwest Blvd
Benbrook, TX 76109-3912
Mailing address
4040 Bryce LN
Flower Mound, TX 75077-7038
Phone (940) 241-1215
Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.