Healthcare Provider Details

I. General information

NPI: 1134253990
Provider Name (Legal Business Name): ERIN RICHARD BARILL PT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 W 56TH ST
INDIANAPOLIS IN
46254-9725
US

IV. Provider business mailing address

826 HARVEST LAKE DR
BROWNSBURG IN
46112-8184
US

V. Phone/Fax

Practice location:
  • Phone: 317-808-5226
  • Fax:
Mailing address:
  • Phone: 317-858-7004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number05004393A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number36000369A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: