Provider Demographics
NPI:1679549927
Name:BARNARD, GEORGE (PT)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:BARNARD
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 1:150 GRIFFIN RD
Mailing Address - Street 2:STE 3
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7131
Mailing Address - Country:US
Mailing Address - Phone:603-433-3210
Mailing Address - Fax:603-427-6841
Practice Address - Street 1:150 GRIFFIN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7131
Practice Address - Country:US
Practice Address - Phone:603-433-2101
Practice Address - Fax:603-427-6841
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008694Medicaid
NH755459OtherTUFTS
NH0805139Y0NH01OtherANTHEM
NH262062OtherCIGNA
NHAA51239OtherHARVARD PILGRIM
ME017258OtherANTHEM
ME27546859Medicaid
NH962772OtherAETNA
ME27546859Medicaid