Provider Demographics
NPI:1750410973
Name:BRIGITTE BARNETT, RPT,PC
Entity type:Organization
Organization Name:BRIGITTE BARNETT, RPT,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-732-0700
Mailing Address - Street 1:1312 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-2526
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:631-732-0563
Practice Address - Street 1:1312 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-2526
Practice Address - Country:US
Practice Address - Phone:631-732-0700
Practice Address - Fax:631-732-0563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY107370300OtherACS
NY13405OtherVYTRA-HIP
NYANC419OtherOXFORD INSURANCE
NY98521OtherLOCAL 825
NY98521OtherLOCAL 825