Healthcare Provider Details

I. General information

NPI: 1093483034
Provider Name (Legal Business Name): BARNABAS YOO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 PRIMROSE HILL CT
NORCROSS GA
30092-4544
US

IV. Provider business mailing address

PHYSICAL THERAPY PROS 2336 WISTERIA DR., STE 420
SNELLVILLE GA
30078
US

V. Phone/Fax

Practice location:
  • Phone: 470-809-1581
  • Fax: 470-809-1582
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License NumberPT033147
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License NumberPT015411
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: