Individual provider Active NPI

Mark F Barnes, PT, MPT, DPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1669403473
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4343 Issued in CO
Practice address
3020 Carbon PL
Suite 101
Boulder, CO 80301-6169
Phone
(303) 440-3359
Fax
(303) 545-9527
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4343 CO Primary

Addresses

Primary practice location

3020 Carbon PL
Suite 101
Boulder, CO 80301-6169

Mailing address

3020 Carbon PL
Suite 101
Boulder, CO 80301-6169
Phone (303) 440-3359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Dermatology, P.C. PastSince Nov 24, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1669403473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CARBON PL",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016169",
            "telephone_number": "303-440-3359",
            "fax_number": "303-545-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CARBON PL",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016169",
            "telephone_number": "303-440-3359",
            "fax_number": "303-545-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "PT, MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.