Organization Active NPI

Barr Prosthetics & Orthotics, PA

  • Prosthetic/Orthotic Supplier
  • Clearwater, FL
National Provider Identifier
1487794848
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR2 Issued in FL
Legal business name
BARR PROSTHETICS & ORTHOTICS, PA
Practice address
1180 Ponce de Leon Blvd
# 1
Clearwater, FL 33756-3475
Phone
(727) 447-2650
Fax
(727) 447-2653
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Mr. James D BarrNPI 1033123740
Title
Owner
Phone
(727) 447-2650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X POR2 FL Primary

Addresses

Primary practice location

1180 Ponce de Leon Blvd
# 1
Clearwater, FL 33756-3475

Mailing address

1180 Ponce de Leon Blvd # 1
Clearwater, FL 33756-1014
Phone (727) 447-2650

Other identifiers 1

IdentifierTypeStateIssuer
M2345OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • CLEARWATER PROSTHETICS & ORTHOTICS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930094932 FL DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 0941416515 Practice locations: Clearwater, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Barr Prosthetics & Orthotics PA1180 Ponce de Leon Blvd, Clearwater, FL 33756-1014(727) 447-2650 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jun 13, 2003

National Provider Directory

National Provider Directory

Locations

1180 Ponce de Leon Blvd
#1
Clearwater, FL 33756
Phone (727) 447-2650

1180 Ponce de Leon Blvd
Ste 101
Clearwater, FL 33756
Phone (727) 447-2650

1000 Lakeview Rd
Ste 6
Clearwater, FL 33756
Phone (727) 447-2650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1487794848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD # 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561014",
            "telephone_number": "727-447-2650",
            "fax_number": "727-447-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD",
            "address_2": "# 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563475",
            "telephone_number": "727-447-2650",
            "fax_number": "727-447-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARR PROSTHETICS & ORTHOTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-447-2650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M2345",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARWATER PROSTHETICS & ORTHOTICS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CLEARWATER PROSTHETICS & ORTHOTICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.