MEDICARE: ALLYSON ELAINE BARNES DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	09742	LA
2	225100000X	Physical Therapist	CP011226T	OK

General Provider Information

NPI Number	:	1063972495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON ELAINE BARNES DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-206-4158
Fax Number	:	717-773-4654

Provider Business Practice Location Address
First Line	:	7101 NW EXPRESSWAY STE 824
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1579
Country	:	US
Telephone Number	:	405-817-8002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2019
Last Update Date	:	09/12/2022

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