Andrew L. Barker, P.T.
Individual provider Active NPI Physical Therapist · Marinette, WI
NPI 1528036209 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528036209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10138-024 (WI)
- Practice address
- 3200 Shore Dr
Marinette, WI 54143-4292 - Phone
- (715) 735-3187
- Fax
- (715) 735-7072
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2724 Cahill Rd
Marinette, WI 54143-3869
Phone (715) 330-5547
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204001103 | WI | Practitioner - Physical Therapist in Private Practice | 1951206606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10138-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barker Physical Therapy Clinic SC | Physical Therapist | Current |
Accepting new patients |
| Northern Lights Clinic SC | Past | Accepting new patients |
Locations
2724 Cahill Rd
Marinette, WI 54143
Phone (715) 330-5547
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10138-024 | WI | Yes |
Addresses
Primary practice location
3200 Shore Dr
Marinette, WI 54143-4292
Mailing address
3200 Shore Dr
PO Box 3200
Marinette, WI 54143-4292
Phone (715) 735-3187
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40399700 | Medicaid | WI |
Other providers in Marinette, WI
- Aurora Pharmacy Inc.
- Kelly Badker
- Lynda J. Bahde
- Paula Baldwin
- Barker Physical Therapy Clinic SC
- Kara Emily Barley
- Kim Steven Barrette
- Bay Area Imaging, S.C.
- Bay Area Medica Center
- Bay Area Medical Center
All providers in Marinette, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.