Provider Demographics
NPI:1811973621
Name:BARABAS, JAMES JOHN (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JOHN
Last Name:BARABAS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9125 RIDGE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-9645
Mailing Address - Country:US
Mailing Address - Phone:814-774-4100
Mailing Address - Fax:814-774-1172
Practice Address - Street 1:9125 RIDGE RD
Practice Address - Street 2:SUITE C
Practice Address - City:GIRARD
Practice Address - State:PA
Practice Address - Zip Code:16417-9645
Practice Address - Country:US
Practice Address - Phone:814-774-4100
Practice Address - Fax:814-774-1172
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA156011OtherHEALTHAMERICA
PA898295OtherHIGHMARK
PA0015328570003Medicaid
PA35777Medicare UPIN
PA049496Medicare ID - Type Unspecified