Individual provider Active NPI

Barbara Jean Pittsford

  • Physical Therapist
  • Middletown, IN
National Provider Identifier
1710069224
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001776A Issued in IN
Practice address
9051 W US Highway 36
Middletown, IN 47356-9759
Phone
(765) 779-4505
Fax
(765) 779-4170
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 05001776A IN Primary

Addresses

Primary practice location

9051 W US Highway 36
Middletown, IN 47356-9759

Mailing address

9051 W. U. S. Highway 36
Middletown, IN 47356
Phone (765) 779-4505

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05001776AINMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710069224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 W. U. S. HIGHWAY 36",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "47356",
            "telephone_number": "765-779-4505",
            "fax_number": "765-779-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 W US HIGHWAY 36",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473569759",
            "telephone_number": "765-779-4505",
            "fax_number": "765-779-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTSFORD",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.