Whytleigh Madicyn Barnes, PT, DPT
Individual provider Active NPI Physical Therapist · Glenwood, AR
NPI 1215665609 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1215665609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5148 (AR)
- Practice address
- 2 Caddo Crossing Dr
Glenwood, AR 71943-8882 - Phone
- (870) 356-4954
- Fax
- (870) 356-4956
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sac and Fox Nation
Practice addresses (Care Compare)
356110 E 930 Rd
Stroud, OK 74079-5184
Phone 91896895313035
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722003251 | OK | Practitioner - Physical Medicine and Rehabilitation | 9133665540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5148 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac & Fox Nation | Current |
Accepting new patients |
Locations
356110 E 930 Rd
Stroud, OK 74079
Phone (918) 968-9531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5148 | AR | Yes |
Addresses
Primary practice location
2 Caddo Crossing Dr
Glenwood, AR 71943-8882
Mailing address
2 Caddo Crossing Dr
Glenwood, AR 71943-8882
Phone (870) 356-4954
Other names
- Whytleigh Madicyn Guerrero
Other providers in Glenwood, AR
- Patricia Adams
- Cierra Atchley
- Stefanie Bainum-Kato
- Timothy Ewing Bainum
- Lori Baltz
- Rebekah Bartels
- Rachel Barton
- Krystina Bean
- Kristin Bell
- Sarah Elisabeth Blackmon
All providers in Glenwood, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. 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.
- Order and Referring (CMS).
- 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.