Rony Helmar Barillas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004013 Issued in MI

Practice address

2055 28TH St SE Ste 7
Grand Rapids, MI 49508-1582

Phone

(616) 245-7013

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Primary Rehab Center LLC

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1821362278
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1902231418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JOHN BALL PARK DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045443",
            "telephone_number": "616-456-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 28TH ST SE STE 7",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081582",
            "telephone_number": "616-245-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLAS",
        "first_name": "RONY",
        "middle_name": "HELMAR",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHYSICAL THERAPY",
            "identifier": "5502004013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James P Bares, M.D.
• Brittany Barfelz, PA-C
• Ava I Bargas, LLMSW
• Andrea Barger
• Samantha Baril
• Emma Barker
• Marie Barker
• Michael Francis Barkey, LMSW
• Nora Jean Barkey, LBSW
• Erin Louise Barkow, PHD

• Physical Therapy Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.