Individual provider Active NPI

Irene Elizabeth Barsh, PHYSICAL THERAPIST

  • Physical Therapist
  • Provo, UT
National Provider Identifier
1225307739
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1131952401 Issued in UT
Practice address
5314 River Run Dr Ste 140
Provo, UT 84604-5691
Phone
(801) 426-4905
Fax
(801) 426-4953
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1131952401 UT Primary

Addresses

Primary practice location

5314 River Run Dr Ste 140
Provo, UT 84604-5691

Mailing address

325 W Center St Apt 231
Orem, UT 84057-4688
Phone (801) 426-4905

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1131952401UTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1225307739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W CENTER ST APT 231",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574688",
            "telephone_number": "801-426-4905",
            "fax_number": "801-426-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 RIVER RUN DR STE 140",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045691",
            "telephone_number": "801-426-4905",
            "fax_number": "801-426-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSH",
        "first_name": "IRENE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1131952401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.