MEDICARE: PABLO BARRIOS PT, 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	306688	CA

General Provider Information

NPI Number	:	1730911157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PABLO BARRIOS PT, DPT

Provider Business Mailing Address
First Line	:	3244 N MACY ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-6220
Country	:	US
Telephone Number	:	909-754-5179
Fax Number	:

Provider Business Practice Location Address
First Line	:	3244 N MACY ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-6220
Country	:	US
Telephone Number	:	909-754-5179
Fax Number	:

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

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	05/27/2025

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