Provider Demographics
NPI:1255869830
Name:BARR, WINSTON BROOKS (PT, DPT)
Entity Type:Individual
Prefix:
First Name:WINSTON
Middle Name:BROOKS
Last Name:BARR
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2071 W LOTUS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-1618
Mailing Address - Country:US
Mailing Address - Phone:512-934-7166
Mailing Address - Fax:
Practice Address - Street 1:2071 W LOTUS AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-1618
Practice Address - Country:US
Practice Address - Phone:512-934-7166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1291091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist