MEDICARE: JAMES JOHN BARABAS P.T.

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	DAPT000294	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	156011	OTHER	PA	HEALTHAMERICA
2	898295	OTHER	PA	HIGHMARK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811973621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES JOHN BARABAS P.T.

Provider Business Mailing Address
First Line	:	9125 RIDGE RD
Second Line	:	SUITE C
City	:	GIRARD
State	:	PA
Zip	:	16417-9645
Country	:	US
Telephone Number	:	814-774-4100
Fax Number	:	814-774-1172

Provider Business Practice Location Address
First Line	:	9125 RIDGE RD
Second Line	:	SUITE C
City	:	GIRARD
State	:	PA
Zip	:	16417-9645
Country	:	US
Telephone Number	:	814-774-4100
Fax Number	:	814-774-1172

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/08/2007

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