Active NPI
Paul R Bar, PT
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1790740264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012431
- Practice address
- 21031 Michigan Ave
Dearborn, MI 48124-2339 - Phone
- (313) 216-0332
- Fax
- (313) 216-0335
- NPI assigned
- Apr 19, 2006
- 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 | 5501012431 | MI | Primary |
Addresses
Primary practice location
21031 Michigan Ave
Dearborn, MI 48124-2339
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milia-Waterworks PC | Current | Accepting new patients | |
| Brossy-Waterworks PC | Physical Therapist | Current | Accepting new patients |
| Finch-Waterworks PC | Current | Accepting new patients | |
| Waterworks Physical Therapy, PC | Current | Accepting new patients | |
| Patel-Waterworks PC | Current | Accepting new patients | |
| Saad-Waterworks, PC | Physical Therapist | Current | Accepting new patients |
Locations
21031 Michigan Ave
#2
Dearborn, MI 48124
21031 Michigan Ave
Dearborn, MI 48124
Phone (313) 216-0332
21031 Michigan Ave
Fl 2
Dearborn, MI 48124
Phone (313) 216-0332
Organizations & group practices 6
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
- Dearborn, MI
- NPI 1912541889
-
- Orthopaedic Surgery Physician
- Dearborn, MI
- NPI 1821255357
-
- Orthopaedic Surgery Physician
- Dearborn, MI
- NPI 1083871529
-
- Orthopaedic Surgery Physician
- Dearborn, MI
- NPI 1407013949
-
- Physical Therapist
- Dearborn, MI
- NPI 1295193415
-
- Physical Therapy Clinic/Center
- Dearborn, MI
- NPI 1386133643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1790740264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644",
"fax_number": "586-541-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-216-0332",
"fax_number": "313-216-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAR",
"first_name": "PAUL",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.