Active NPI
Daniel Patrick Barry II, PT
- Physical Therapist
- South Portland, ME
National Provider Identifier
1649926080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6154
- Practice address
- 185 Ocean St
South Portland, ME 04106-3600 - Phone
- (207) 799-8226
- NPI assigned
- Feb 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6154 | ME | Primary |
Addresses
Primary practice location
185 Ocean St
South Portland, ME 04106-3600
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220321001612 | ME | Practitioner - Physical Therapist in Private Practice | 9032504568 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6154 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1649926080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 OCEAN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063600",
"telephone_number": "207-799-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.