Laura Barrett, M.S.P.T.
Individual provider Active NPI Physical Therapist · Bristow, VA
NPI 1992114797 · NPPES record last updated Aug 5, 2014
Key facts
- NPI
- 1992114797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305203012 (VA)
- Practice address
- 12713 Camden Park CT
Bristow, VA 20136-1291 - Phone
- (703) 899-1732
- Fax
- (703) 369-1393
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203012 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Physical Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203012 | VA | Yes |
Addresses
Primary practice location
12713 Camden Park CT
Bristow, VA 20136-1291
Mailing address
12713 Camden Park CT
Bristow, VA 20136-1291
Phone (703) 899-1732
Other providers in Bristow, VA
- Meseret Asfaw
- Associates in Eyecare Bristow PC
- Awareness Lounge Counseling, LLC
- Back 2 Back Chiropractic
- Jessica Ballesteros-Holmes
- Laura Beth Barrett
- Mabel Bashorun
- Natalia Becker
- Elizabeth Michelle Bender
- Benedictine Counseling Services
All providers in Bristow, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.