Active NPI
Karen G Barber
- Physical Therapist
- Fayetteville, GA
National Provider Identifier
1790713279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4808
- Practice address
- 1260 Highway 54 W
Suite 101
Fayetteville, GA 30214-4514 - Phone
- (404) 392-7110
- Fax
- (770) 254-9419
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- 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 | 4808 | GA | Primary |
Addresses
Primary practice location
1260 Highway 54 W
Suite 101
Fayetteville, GA 30214-4514
Mailing address
PO Box 877
Sharpsburg, GA 30277-0877
Phone (770) 254-9419
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5709663 | Other | GA | AETNA PROVIDER NUMBER |
| P00267638 | Other | GA | RAILROAD MEDICARE PROV. |
| 52672107004 | Other | GA | BC/BS PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4808 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross My Heart Physical Therapy | Physical Therapist | Past | 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.
-
- Physical Therapist
- Fayetteville, GA
- NPI 1619037165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790713279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 877",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302770877",
"telephone_number": "770-254-9419",
"fax_number": "770-254-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 HIGHWAY 54 W",
"address_2": "SUITE 101",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144514",
"telephone_number": "404-392-7110",
"fax_number": "770-254-9419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBER",
"first_name": "KAREN",
"middle_name": "G",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "4808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "5709663",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV.",
"identifier": "P00267638",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "52672107004",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.