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NPI Code Detail

MEDICARE: MATTHEW BARBO

MEDICARE: MATTHEW BARBO
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
1225100000XPhysical TherapistCPO54684TMD
2225100000XPhysical Therapist040-0134688VT

General Provider Information

NPI Number : 1255190211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BARBO
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-6423
Fax Number :
Provider Business Practice Location Address
First Line : 23 SAN REMO DR # 100
Second Line :
City : SOUTH BURLINGTON
State : VT
Zip : 05403-6343
Country : US
Telephone Number : 802-865-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2024
Last Update Date : 05/18/2026

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Directions to “ MATTHEW BARBO ” Practice Location

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