Provider Demographics
NPI:1093283475
Name:BARBIERI, NICHOLAS E (DPT)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:E
Last Name:BARBIERI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5211
Mailing Address - Country:US
Mailing Address - Phone:267-663-7767
Mailing Address - Fax:215-855-8748
Practice Address - Street 1:3400 LANCASTER AVE STE 4
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-7209
Practice Address - Country:US
Practice Address - Phone:215-662-0397
Practice Address - Fax:215-386-2349
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist