MEDICARE: STEPHANIE BARTON 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	3145	NV

General Provider Information

NPI Number	:	1942682299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE BARTON PT, DPT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 N STEPHANIE ST STE 1111
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-8904
Country	:	US
Telephone Number	:	702-456-2024
Fax Number	:

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

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	04/23/2024

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