George Barrett, PT
Individual provider Active NPI Physical Therapist · Fayetteville, NY
NPI 1215980339 · NPPES record last updated Oct 20, 2009
Key facts
- NPI
- 1215980339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 020527-1 (NY)
- Practice address
- 6800 E Genesee St
Suite a
Fayetteville, NY 13066-1089 - Phone
- (315) 478-0380
- Fax
- (315) 478-0388
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Syracuse Orthopedic Specialists, PLLC
Practice addresses (Care Compare)
415 E 37TH St
Apt 21a
New York, NY 10016-3243
Phone (313) 525-1310
5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070216000453 | NY | Practitioner - Physical Therapist in Private Practice | 7315049640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020527-1 | NY | MD | Physical Therapist |
| 020527 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Orthopedic Specialists, PLLC | Current |
Accepting new patients | |
| Syracuse Orthopedic Specialists, PLLC | Past | Accepting new patients |
Locations
5823 Widewaters Pkwy
East Syracuse, NY 13057
Phone (315) 426-0190
6800 E Genesee St
Ste A
Fayetteville, NY 13066
Phone (315) 478-0380
5496 E Taft Rd
Ste 2B
North Syracuse, NY 13212
Phone (315) 418-4042
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4994 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 469-5400
Interoperability endpoints
- gbarrett@sosbones.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020527-1 | NY | Yes |
Addresses
Primary practice location
6800 E Genesee St
Suite a
Fayetteville, NY 13066-1089
Mailing address
231 Walton St
Suite 200
Syracuse, NY 13202-1230
Phone (315) 478-0380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02845572 | Medicaid | NY |
Other providers in Fayetteville, NY
- Natalie Bamerick
- Evgenia Baranova
- Barb Shepard Licensed Mental Health Counselor PLLC
- Michelle Easterly Barber
- Thomas Barnello
- Anthony Vincent Basile
- Michelle Kaplan Bass
- Cynthia G Battaglia
- Roman Batyuk
- Theresa Baxter
All providers in Fayetteville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2009. 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.