Gregory Spence Barker, DPT
Individual provider Active NPI Physical Therapist · Ashton, ID
NPI 1174585343 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1174585343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1725 (NV)
- Practice address
- 700 N 2ND St
Ashton, ID 83420-5105 - Phone
- (208) 359-9570
- Fax
- (208) 359-9580
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MHD Therapies PLLC
Practice addresses (Care Compare)
36 Professional PLZ
Suite 110
Rexburg, ID 83440-2049
Phone (208) 359-9570
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729001106 | ID | Practitioner - Physical Therapist in Private Practice | 8426046681 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1725 | ID | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHD Therapies, PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
700 N 2nd St
Ashton, ID 83420
Phone (208) 356-9456
36 Professional Plz
Ste 110
Rexburg, ID 83440
Phone (208) 359-9570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT-1725 | ID | |
| Physical Therapist | 225100000X | 1725 | NV | Yes |
Addresses
Primary practice location
700 N 2ND St
Ashton, ID 83420-5105
Mailing address
36 Professional PLZ Ste 110
Rexburg, ID 83440-2049
Phone (082) 359-9570
Other practice location 1
325 Hanson St
Winnemucca, NV 89445-3607
Phone (775) 625-2222
Other providers in Ashton, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. 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.