Individual provider Active NPI

Joanne M Barry, P.T.

  • Physical Therapist
  • Liverpool, NY
National Provider Identifier
1265430615
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003540-1 Issued in NY
Practice address
718 Old Liverpool Rd
Liverpool, NY 13088-6035
Phone
(315) 457-7005
Fax
(315) 457-7214
NPI assigned
Jul 11, 2005
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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 003540-1 NY Primary

Addresses

Primary practice location

718 Old Liverpool Rd
Liverpool, NY 13088-6035

Mailing address

718 Old Liverpool Rd
Liverpool, NY 13088-6035
Phone (315) 457-7005

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
003540NYMDOptician
003540-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liverpool Physical Therapy, PC Physical Therapist CurrentSince Nov 30, 2009 Accepting new patients
Barry & Vanbeveren Physical Therapists, PC Physical Therapist Past Accepting new patients

Locations

718 Old Liverpool Rd
Liverpool, NY 13088
Phone (315) 457-7005

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1265430615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 OLD LIVERPOOL RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886035",
            "telephone_number": "315-457-7005",
            "fax_number": "315-457-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 OLD LIVERPOOL RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886035",
            "telephone_number": "315-457-7005",
            "fax_number": "315-457-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.