Provider Demographics
NPI:1215019989
Name:BARBER, NATALIE J (PT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:J
Last Name:BARBER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3971 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12885-1152
Mailing Address - Country:US
Mailing Address - Phone:518-623-2888
Mailing Address - Fax:518-623-2880
Practice Address - Street 1:3971 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:NY
Practice Address - Zip Code:12885-1152
Practice Address - Country:US
Practice Address - Phone:518-623-2888
Practice Address - Fax:518-623-2880
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NY011669225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01697832Medicaid