Provider Demographics
NPI:1255423406
Name:BARBER, SHERISUE (DPT)
Entity type:Individual
Prefix:
First Name:SHERISUE
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 SELDON DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3235
Mailing Address - Country:US
Mailing Address - Phone:540-671-0185
Mailing Address - Fax:
Practice Address - Street 1:480 S COMMERCE AVE STE F
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3093
Practice Address - Country:US
Practice Address - Phone:540-636-3500
Practice Address - Fax:540-636-3502
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA194085OtherBCBS WS
VA541966445OtherFIRST HEALTH
VA541966445OtherSOUTHERN HEALTH
VA8940151Medicaid
VA298154OtherMAMSI
VA4576361OtherAETNA
VA150718500OtherDEPT OF LABOR
VA194082OtherBCBS FR
VA650017306OtherRR MEDICARE
VA541966445OtherUHC
VA102807OtherBCBS AQUATIC
VA16040OtherCOMMUNITY HEALTH
VA194083OtherBCBS WI
VA211766OtherBCBS INDIVIDUAL #
VAS84353Medicare UPIN
VA541966445OtherSOUTHERN HEALTH
VA194085OtherBCBS WS