Provider Demographics
NPI:1558323766
Name:BARTHELMESS, CLAIRE DANIELLE (MPT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:DANIELLE
Last Name:BARTHELMESS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:33195 LIGHTHOUSE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:SELBYVILLE
Practice Address - State:DE
Practice Address - Zip Code:19975-4071
Practice Address - Country:US
Practice Address - Phone:302-436-0901
Practice Address - Fax:302-436-0902
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ10001395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE020489TBBNOtherMEDICARE PTAN
MD965103-01OtherCAREFIRST