Provider Demographics
NPI:1326215765
Name:BARSKY, JAMES ROBERT (MSPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBERT
Last Name:BARSKY
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1205
Mailing Address - Country:US
Mailing Address - Phone:610-265-5305
Mailing Address - Fax:610-265-5306
Practice Address - Street 1:1004 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1205
Practice Address - Country:US
Practice Address - Phone:610-265-5305
Practice Address - Fax:610-265-5306
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102703924-0001Medicaid
PA102703924-0001Medicaid