Provider Demographics
NPI:1669804381
Name:BARB, JOSHUA A (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:A
Last Name:BARB
Suffix:
Gender:M
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-8813
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:630-928-5040
Practice Address - Street 1:1273 N EMERSON AVE
Practice Address - Street 2:#E
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6672
Practice Address - Country:US
Practice Address - Phone:317-807-0770
Practice Address - Fax:317-807-0771
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011140A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist