Individual provider Active NPI

Grace Evelyn McBarron, DPT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1699452250
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
050521 Issued in NY
Practice address
1995 Broadway FL 15
New York, NY 10023-5882
Phone
(212) 712-2006
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 050521 NY Primary

Addresses

Primary practice location

1995 Broadway FL 15
New York, NY 10023-5882

Mailing address

1409 SW Dickinson LN
Portland, OR 97219-9621
Phone (845) 637-7314

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

State licenses

LicenseStateTypeSpecialty
050521NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S2 Physical Therapy P.C. CurrentSince Sep 7, 2023 Accepting new patients

Locations

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

1995 Broadway
Fl 15
New York, NY 10023
Phone (212) 712-2006

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1699452250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 SW DICKINSON LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972199621",
            "telephone_number": "845-637-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 BROADWAY FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235882",
            "telephone_number": "212-712-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBARRON",
        "first_name": "GRACE",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "050521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.