Provider Demographics
| NPI: | 1356362537 |
|---|---|
| Name: | LENOX, BARRI BRITTAIN (PT) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | BARRI |
| Middle Name: | BRITTAIN |
| Last Name: | LENOX |
| Suffix: | |
| Gender: | F |
| Credentials: | PT |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 251 JOHNSTON ST SE |
| Mailing Address - Street 2: | STE 200 |
| Mailing Address - City: | DECATUR |
| Mailing Address - State: | AL |
| Mailing Address - Zip Code: | 35601-2515 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 256-350-1764 |
| Mailing Address - Fax: | 256-350-8995 |
| Practice Address - Street 1: | 2506 DANVILLE RD SW |
| Practice Address - Street 2: | SUITE 200 |
| Practice Address - City: | DECATUR |
| Practice Address - State: | AL |
| Practice Address - Zip Code: | 35603-4232 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 256-350-6331 |
| Practice Address - Fax: | 256-350-1990 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-07-22 |
| Last Update Date: | 2018-08-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| AL | PTH631 | 225100000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| AL | DB9027 | Other | RAILROAD MEDICARE GROUP |
| AL | 529917620 | Medicaid | |
| AL | K531 | Other | MEDICARE GROUP PIN |
| AL | 1003819608 | Other | GROUP NPI |