Provider Demographics
NPI:1689788317
Name:BARTON & BARTON PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:BARTON & BARTON PHYSICAL THERAPY INC
Other - Org Name:DOCTORS PARK PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-528-5122
Mailing Address - Street 1:121 BISHOP STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701
Mailing Address - Country:US
Mailing Address - Phone:606-528-5122
Mailing Address - Fax:606-528-5127
Practice Address - Street 1:121 BISHOP STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701
Practice Address - Country:US
Practice Address - Phone:606-528-5122
Practice Address - Fax:606-528-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY186563Medicare ID - Type Unspecified