Timothy Ryan Barnes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

27043 Issued in FL

Practice address

8220 Matisse St Apt 1507
Champions Gate, FL 33896-8380

Phone

(181) 348-2180

NPI assigned

Apr 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1346984861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135578",
            "telephone_number": "352-279-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 MATISSE ST APT 1507",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968380",
            "telephone_number": "181-348-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12170 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135578",
            "country_code": "US",
            "telephone_number": "352-279-4166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "27043",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "27043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Alvarez, RBT
• Nadrea Latoya Anson
• Emma Anesa Antanavicius
• Valerie Nancy Baguidy
• Louisa Bahena Farias
• Carla Batista
• Shantally Bernabel
• Mandy L Bienaime
• Ursule Bissereth
• Chevanese N. Bogle, RBT

• Physical Therapy Assistant in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.