Healthcare Provider Details

I. General information

NPI: 1770197923
Provider Name (Legal Business Name): GARRETT BARR DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MC CAIN BLVD
CORONADO CA
92118
US

IV. Provider business mailing address

3333 NUTMEG ST
SAN DIEGO CA
92104-5250
US

V. Phone/Fax

Practice location:
  • Phone: 619-545-0462
  • Fax:
Mailing address:
  • Phone: 907-529-1235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT298931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: