Barton Drake Ibsen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3156 Issued in AL

Practice address

121 Drinkard Dr
Fort Payne, AL 35967

Phone

(256) 997-9006

Fax

(256) 997-0606

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Partners of Fort PayneGroup PAC ID 7719227685, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab Partners of Fort Payne

  • Physical Therapist
  • Fort Payne, AL
  • NPI 1164990248
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1417951112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DRINKARD DR NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673758",
            "telephone_number": "256-997-9006",
            "fax_number": "256-997-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DRINKARD DR",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-997-9006",
            "fax_number": "256-997-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 MCCURDY AVE",
            "address_2": "SUITE B (PO BOX 567)",
            "address_purpose": "LOCATION",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "35986",
            "country_code": "US",
            "telephone_number": "256-638-2831",
            "fax_number": "256-638-9283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBSEN",
        "first_name": "BARTON",
        "middle_name": "DRAKE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.