Provider Demographics
NPI:1013917269
Name:BARNETT, WILLIAM SCOTT I (LAC PT)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:BARNETT
Suffix:I
Gender:M
Credentials:LAC PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 NW 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-2263
Mailing Address - Country:US
Mailing Address - Phone:352-376-1320
Mailing Address - Fax:
Practice Address - Street 1:2730 NW 39TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-2263
Practice Address - Country:US
Practice Address - Phone:352-376-1320
Practice Address - Fax:352-376-1340
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41352251G0304X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8880859Medicaid
FLE1524Medicare ID - Type Unspecified