NPI 1285906396 · live from the CMS NPI Registry
Blake M Barbera, PT, DPT
Physical Therapist in Thibodaux, LA. National Provider Identifier 1285906396, active.
NPI record
| NPI | 1285906396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1410 Tiger Dr Ste 101, Thibodaux, LA 70301 |
| Practice phone | 985-665-6672 |
| Mailing address | 139 Lake Howard Ave, Thibodaux, LA 70301 |
| Enumerated | February 4, 2012 |
| Last updated | June 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 27121 (FL) |
| Physical Therapist primary | 225100000X | 09411 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.