Active NPI
Barry Michael Quirk Jr., DPT
- Physical Therapist
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5187
- Practice address
- 1800 Beach Dr
Gulfport, MS 39507-1553 - Phone
- (228) 897-4452
- Fax
- (228) 897-4481
- NPI assigned
- Sep 5, 2007
- Last updated
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07085 | LA | |
| Physical Therapist | 225100000X | PT5187 | MS | Primary |
Addresses
Primary practice location
1800 Beach Dr
Gulfport, MS 39507-1553
Mailing address
PO Box 8419
Biloxi, MS 39535-8087
Phone (228) 388-5714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06535092 | Medicaid | MS | |
| 1598959306 | Other | MS | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 A Pass Rd
Gulfport, MS 39507-3201
Phone (228) 896-1189
2541 Pass Rd F
Biloxi, MS 39531-2112
Phone (228) 388-1002
433 Main St
Leakesville, MS 39451-6502
Phone (601) 394-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
MS, Physical Therapist
-
dba Encore Coast Hand Therapy
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1598959306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8419",
"city": "BILOXI",
"state": "MS",
"postal_code": "395358087",
"telephone_number": "228-388-5714",
"fax_number": "228-388-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BEACH DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071553",
"telephone_number": "228-897-4452",
"fax_number": "228-897-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIRK",
"first_name": "BARRY",
"middle_name": "MICHAEL",
"name_prefix": "Prof.",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07085",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT5187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06535092",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1598959306",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
- Virginia Lorain Quandt, ANP, FNP, DNP
- Clarence R Quave, DPT
- Fauzia F. Quddus, M.D.
- Quest Medical Services Inc (Quest Prosthetics)
- Edwin M Quinones, M.D.
- R Kimble Doty, Jr DDS,Ms Pediatric Dentistry, PC
- Jeannine A Racey, CGNP
- Rita A Rademacher, LMSW
- Tisha Nicole Radich, COTA/L
- Raeline K. McIntyre, DMD, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.