Active NPI
Daniel James Barker, DPT
- Physical Therapist
- Southbury, CT
National Provider Identifier
1972167336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11947
- Practice address
- 611 E Hill Rd # 745-2295
Southbury, CT 06488-1388 - Phone
- (203) 745-2295
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 11947 | CT | Primary |
Addresses
Primary practice location
611 E Hill Rd # 745-2295
Southbury, CT 06488-1388
Mailing address
107 Thomaston Rd
Morris, CT 06763-1916
Phone (910) 489-7232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430002921 | CT | Practitioner - Physical Therapist in Private Practice | 6901246529 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Connecticut, Inc. | Single Specialty | Current | Accepting new patients |
Locations
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
500 Chase Pkwy
Fl 1
Waterbury, CT 06708
Phone (203) 754-2266
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1972167336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 THOMASTON RD",
"city": "MORRIS",
"state": "CT",
"postal_code": "067631916",
"telephone_number": "910-489-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E HILL RD # 745-2295",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064881388",
"telephone_number": "203-745-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "DANIEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CT",
"license": "11947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.