Healthcare Provider Details

I. General information

NPI: 1275477382
Provider Name (Legal Business Name): JOSEPH BARRETT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

5699 W 20TH ST
GREELEY CO
80634-3165
US

IV. Provider business mailing address

5699 W 20TH ST
GREELEY CO
80634-3165
US

V. Phone/Fax

Practice location:
  • Phone: 970-451-1234
  • Fax:
Mailing address:
  • Phone: 970-451-1234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0009280
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: