Healthcare Provider Details

I. General information

NPI: 1336262468
Provider Name (Legal Business Name): BRUCE D. BARNHART ATC, PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 UNIVERSITY AVE
CALIFORNIA PA
15419-1341
US

IV. Provider business mailing address

119 LOCUST ST
BROWNSVILLE PA
15417-1917
US

V. Phone/Fax

Practice location:
  • Phone: 724-938-4562
  • Fax: 724-938-4342
Mailing address:
  • Phone: 724-785-7498
  • Fax: 724-938-4342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTE006691
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT000071A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: