Provider Demographics
NPI:1356976518
Name:THOMAS BARRETT, NADIA NOTOYA (PT)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:NOTOYA
Last Name:THOMAS BARRETT
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 1:16196 SW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5133
Mailing Address - Country:US
Mailing Address - Phone:904-770-1262
Mailing Address - Fax:
Practice Address - Street 1:10238 NW 33RD ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3919
Practice Address - Country:US
Practice Address - Phone:407-808-1951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist