Tracie Barber, PT
Individual provider Active NPI Physical Therapist · Chesterland, OH
NPI 1861696072 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1861696072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT007276 (OH)
- Practice address
- 12656 W Geauga PLZ
Chesterland, OH 44026-2505 - Phone
- (440) 688-4186
- Fax
- (440) 686-4187
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170309001432 | OH | Practitioner - Physical Therapist in Private Practice | 5294886057 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Outpatient Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Carradine Chiropractic Center, Inc. | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007276 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H486930 | Other | OH | MEDICARE PTAN |
| 2470437 | Medicaid | OH |
Other providers in Chesterland, OH
- Jim R Armstrong
- Jennie Avsec
- Luanne Baker
- Balance Foot and Ankle LLC
- Balance Foot and Ankle, LLC
- Beth S Bednar
- Alicia Blackley
- Renee Blakeley
- Sara Marie Bohac
- Damon M Boogaart
All providers in Chesterland, OH · Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.