Individual provider Active NPI

Barry James Heath, PTA

  • Physical Therapy Assistant
  • Rockland, ME
National Provider Identifier
1225690084
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PA4930 Issued in ME
Practice address
91 Camden St Ste 107
Rockland, ME 04841-2458
Phone
(207) 596-0133
Fax
(207) 596-0144
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 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 PA4930 ME Primary

Addresses

Primary practice location

91 Camden St Ste 107
Rockland, ME 04841-2458

Mailing address

91 Camden St Ste 107
Rockland, ME 04841-2458
Phone (207) 596-0133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barry.heath@rehabwithoutwalls.com Health Information Exchange (HIE)

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
PA4930MEMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1225690084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST STE 107",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412458",
            "telephone_number": "207-596-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST STE 107",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412458",
            "telephone_number": "207-596-0133",
            "fax_number": "207-596-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "BARRY",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barry.heath@rehabwithoutwalls.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Private/Proprietary",
            "address_1": "91 Camden St Ste 107",
            "city": "Rockland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "048412458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.