Provider Demographics
NPI:1821118696
Name:BARCLAY PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:BARCLAY PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARULA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:248-853-5853
Mailing Address - Street 1:555 BARCLAY CIR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4555
Mailing Address - Country:US
Mailing Address - Phone:248-853-5853
Mailing Address - Fax:
Practice Address - Street 1:555 BARCLAY CIR
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4555
Practice Address - Country:US
Practice Address - Phone:248-853-5853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236646Medicare ID - Type Unspecified