Healthcare Provider Details

I. General information

NPI: 1679405138
Provider Name (Legal Business Name): MARY ALLISON BARNES PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4219 ARENDELL ST STE C
MOREHEAD CITY NC
28557-2862
US

IV. Provider business mailing address

1301 E ARLINGTON BLVD
GREENVILLE NC
27858-5868
US

V. Phone/Fax

Practice location:
  • Phone: 252-565-8814
  • Fax:
Mailing address:
  • Phone: 252-565-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24998
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: