Individual provider Active NPI

Tracie Barber, PT

  • Physical Therapist
  • Chesterland, OH
National Provider Identifier
1861696072
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007276 Issued in OH
Practice address
12656 W Geauga PLZ
Chesterland, OH 44026-2505
Phone
(440) 688-4186
Fax
(440) 686-4187
NPI assigned
Jun 12, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT007276 OH Primary

Addresses

Primary practice location

12656 W Geauga PLZ
Chesterland, OH 44026-2505

Mailing address

12656 W Geauga PLZ
Chesterland, OH 44026-2505
Phone (440) 688-4186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170309001432 OH Practitioner - Physical Therapist in Private Practice 5294886057 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007276OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carradine Chiropractic Center, Inc. CurrentSince Mar 16, 2025 Accepting new patients
Patriot Outpatient Therapy, LLC Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients

Locations

986 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 306-9651

986 Tibbetts Wick Rd
Bldg 2
Girard, OH 44420
Phone (330) 919-9575

8286 South Ave
#B
Youngstown, OH 44512
Phone (330) 758-4446

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861696072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 W GEAUGA PLZ",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262505",
            "telephone_number": "440-688-4186",
            "fax_number": "440-686-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 W GEAUGA PLZ",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262505",
            "telephone_number": "440-688-4186",
            "fax_number": "440-686-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "TRACIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.