Active NPI
Alrick Barbaza
- Pediatric Physical Therapist
- Clermont, FL
National Provider Identifier
1407485386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTA28647
- Practice address
- 2400 S Hwy 27
Clermont, FL 34711-6816 - Phone
- (321) 287-6450
- NPI assigned
- Apr 3, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PTA28647 | FL | Primary |
Addresses
Primary practice location
2400 S Hwy 27
Clermont, FL 34711-6816
Mailing address
2224 Tealwood Cir
Tavares, FL 32778-9315
Phone (321) 287-6450
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA28647 | FL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1407485386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 TEALWOOD CIR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327789315",
"telephone_number": "321-287-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S HWY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816",
"telephone_number": "321-287-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBAZA",
"first_name": "ALRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PTA28647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.