Leigh Merritt Barborek, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1607 Issued in AR

Practice address

144 High Drive
Russellville, AR 72801-7934

Phone

(479) 967-9657

Fax

(479) 967-9658

NPI assigned

Jul 7, 2005

Sex

Female

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

Other names 1

• Gwendolyn Leigh Merritt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lane Physical Therapy Center, Inc

  • Physical Therapist
  • Russellville, AR
  • NPI 1104855261
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1902804651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HIGH ACRES DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728027934",
            "telephone_number": "479-967-9657",
            "fax_number": "479-967-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 HIGH DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728017934",
            "telephone_number": "479-967-9657",
            "fax_number": "479-967-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOREK",
        "first_name": "LEIGH",
        "middle_name": "MERRITT",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136075742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "MERRITT",
            "middle_name": "LEIGH",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Lynn Baker, MS OTR/L
• Laken Nicolle Baldwin, DPT
• Forrest Garnett Bale, DDS
• Angela Balentine
• Baptist Health
• Amy Ruth Barley, OTRL
• Megan Elizabeth Barnes, LAC
• Dayem Barrera Garcia
• Barron Family Practice Clinic
• Hope Janell Barron

• All providers in Russellville, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.