Individual provider Active NPI

Marcus Monroe Barnett

  • Physical Therapy Assistant
  • Colorado Springs, CO
National Provider Identifier
1205395332
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0012224 Issued in CO
Practice address
2105 University Park Blvd
Colorado Springs, CO 80918-3691
Phone
(719) 268-1818
Fax
(719) 268-1801
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0012224 CO Primary

Addresses

Primary practice location

2105 University Park Blvd
Colorado Springs, CO 80918-3691

Mailing address

6959 Ketchum Dr
Colorado Springs, CO 80911-9406
Phone (719) 229-6596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0012224COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Houston Heart Center, P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBEAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1205395332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6959 KETCHUM DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809119406",
            "telephone_number": "719-229-6596",
            "fax_number": "719-229-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 UNIVERSITY PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183691",
            "telephone_number": "719-268-1818",
            "fax_number": "719-268-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MARCUS",
        "middle_name": "MONROE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0012224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.