Individual provider Active NPI

Patrick S Barron

  • Physical Therapist
  • New Berlin, WI
National Provider Identifier
1326071200
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9558-024 Issued in WI
Practice address
3333 S Sunnyslope Rd Ste 103B
New Berlin, WI 53151-4504
Phone
(262) 853-8452
NPI assigned
Jul 7, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 9558-024 WI Primary

Addresses

Primary practice location

3333 S Sunnyslope Rd Ste 103B
New Berlin, WI 53151-4504

Mailing address

3333 S Sunnyslope Rd Ste 103B
New Berlin, WI 53151-4504
Phone (262) 853-8452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000748 WI Practitioner - Physical Therapist in Private Practice 2567621360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3333 S Sunnyslope Rd
Suite 103B
New Berlin, WI 53151
Phone (262) 853-8452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9558-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fastback Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Fox Rehabilitation Services Wi LLC Physical Therapist CurrentSince Sep 25, 2017 Accepting new patients
Franklin Rehabilitation LLC Past Accepting new patients

Locations

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

3333 S Sunny Slope Rd
Ste 103B
New Berlin, WI 53151
Phone (262) 682-1842

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1326071200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S SUNNYSLOPE RD STE 103B",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514504",
            "telephone_number": "262-853-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S SUNNYSLOPE RD STE 103B",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514504",
            "telephone_number": "262-853-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "PATRICK",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9558-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.

Verify at the official NPI Registry.