Mary K Barry, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33793 Issued in CA

Practice address

1067 C St Ste 110
Galt, CA 95632-1758

Phone

(209) 745-5802

Fax

(209) 745-5574

NPI assigned

Jul 10, 2007

Last updated

Jul 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialized Physical Therapy of the Carolinas, LLC

  dba Movement for Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Asheville, NC
  • NPI 1003601022

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1194923227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 C ST STE 110",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321758",
            "telephone_number": "209-745-5802",
            "fax_number": "209-745-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Anicas, RADT
• Aspirations Wellness Centers, LLC
• Associated Family Physicians Inc (Associated Family Physicians- Galt)
• Nichole Mikel Atkins, CPHT
• Veronica Avalos
• Rafael Becerra, PT, DPT
• Emily Beckwith
• Michelle Jeanne Bernett
• Aledria Blake, RADT
• Rebecca Bocage, RADT

• Physical Therapist in Galt, CA
• Providers in Galt, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.