Charles David Barnes, PT
Individual provider Active NPI Geriatric Physical Therapist · Morro Bay, CA
NPI 1649834730 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1649834730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 18273 (MD)
- Practice address
- 404 Estero Ave
Morro Bay, CA 93442 - Phone
- (443) 523-5235
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18273 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 18273 | MD | Yes |
Addresses
Primary practice location
404 Estero Ave
Morro Bay, CA 93442
Mailing address
404 Estero Ave
Morro Bay, CA 93442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18273 | Other | MD | PHYSICAL THERAPY |
Other providers in Morro Bay, CA
- Angel Dawn Armitage
- Eric Balash
- Leia Michelle Dumlao Ballesteros
- Justin Banks
- Emily Banser
- Steven Lee Barron
- Robert John Becker
- Best Friends
- Malinda A Bilbrey
- Cherena Bio
All providers in Morro Bay, CA · Geriatric Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. 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.