Provider Demographics
NPI:1144567413
Name:BARBARA, MARIESA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARIESA
Middle Name:
Last Name:BARBARA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARIESA
Other - Middle Name:
Other - Last Name:STRANGOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5007 STARBOARD ST STE 6
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4676
Mailing Address - Country:US
Mailing Address - Phone:340-201-4248
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:4500 MAGAZINE ST
Practice Address - Street 2:STE 3
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-1543
Practice Address - Country:US
Practice Address - Phone:504-899-1437
Practice Address - Fax:504-899-1439
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10117225100000X
LA08997R225100000X
VI2352251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
869810OtherOPTUM
LA380764YUZ5OtherMEDICARE PTAN
LA380764YWWBOtherMEDICARE PTAN