Jacquelyn Chapman Barnes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004663 Issued in MI

Practice address

44201 Dequindre Rd Ste 203a
Troy, MI 48085-1117

Phone

(248) 964-4014

NPI assigned

Feb 19, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michigan Institute for Human Performance Inc

  • Physical Therapist
  • Troy, MI
  • NPI 1023115201
  NPD (past)

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437659166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45527 HIDDEN VIEW CT",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155920",
            "telephone_number": "248-229-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD STE 203A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Livernois Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831639",
            "country_code": "US",
            "telephone_number": "248-269-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JACQUELYN",
        "middle_name": "CHAPMAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Barbat, M.D.
• Shannon Marie Barclay, OTR/L
• Kelynn Barden, RBT
• Allison Barkley, PA-C
• Bruce Kirkland Barnes, DDS
• Kathleen M Barnes, RN
• Michele Barnes, CRNA
• Surath Barno, NP
• Gloria Barnor, NP
• Ava Elizabeth Barnthouse, MA, LLPC

• All providers in Troy, MI
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.