Chad Alan Baribeau, PT
Individual provider Active NPI Physical Therapist · Aurora, MN
NPI 1508185463 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1508185463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6361 (MN)
- Practice address
- 5211 Highway 110
Aurora, MN 55705-1522 - Phone
- (218) 229-3311
- NPI assigned
- May 18, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Medical Center | Current | Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| Advantage Therapy | Physical Therapist | Current | Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6361 | MN | Yes |
Addresses
Primary practice location
5211 Highway 110
Aurora, MN 55705-1522
Mailing address
SSB-6
400 E 3Rd St.
Duluth, MN 55805
Phone (218) 786-8364
Other providers in Aurora, MN
- Aurora Carefree Living
- Sara Jean Baribeau
- Mark W Boback
- Francine Jean Bonach
- Angela Boyd
- Claude Erickson
All providers in Aurora, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.