Active NPI
Patricia N Barrack, MPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT30338
- Practice address
- 2902 W Agua Fria Fwy Ste 1090
Phoenix, AZ 85027-3970 - Phone
- (602) 648-5444
- Fax
- (602) 772-3801
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT30338 | AZ | Primary |
Addresses
Primary practice location
2902 W Agua Fria Fwy Ste 1090
Phoenix, AZ 85027-3970
Mailing address
PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPT-30338 | Other | AZ | AZ BOARD OF PHYSICAL THERAPY |
| LICENSE #5041 | Other | OR | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2902 W Agua Fria Fwy
Suite 1090
Phoenix, AZ 85027-3970
Phone (602) 648-5444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT30338 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of North America PLLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| Orthopedic Specialists of North America, PLLC | Current | Accepting new patients | |
| 360 Physical Therapy, LLC | Past | Accepting new patients |
Locations
20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300
2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444
33300 N 32nd Ave
Ste 230
Phoenix, AZ 85085
33300 N 32nd Ave
Ste 320
Phoenix, AZ 85085
3342 E Greenway Rd
Ste 105
Phoenix, AZ 85032
5355 E High St
Unit 113
Phoenix, AZ 85054
40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
33777 N Scottsdale Rd
Ste 110
Scottsdale, AZ 85266
Phone (480) 595-2824
5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050
Organizations & group practices 4
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.
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1770812828
-
- Orthopaedic Surgery Physician
- Scottsdale, AZ
- NPI 1609420702
Physical Therapist
-
dba OrthoArizona
- Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1962292870
-
- Specialist
- Fountain Hills, AZ
- NPI 1811153992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1285735514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80217",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850600217",
"telephone_number": "602-385-2115",
"fax_number": "602-772-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 W AGUA FRIA FWY STE 1090",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273970",
"telephone_number": "602-648-5444",
"fax_number": "602-772-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRACK",
"first_name": "PATRICIA",
"middle_name": "N",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT30338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BOARD OF PHYSICAL THERAPY",
"identifier": "LPT-30338",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "LICENSE #5041",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.