Provider Demographics
NPI:1144917022
Name:NORTH COUNTRY PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:NORTH COUNTRY PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:607-351-0369
Mailing Address - Street 1:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:NORTH CREEK
Mailing Address - State:NY
Mailing Address - Zip Code:12853-0582
Mailing Address - Country:US
Mailing Address - Phone:607-351-0369
Mailing Address - Fax:
Practice Address - Street 1:4 BARTON LANE
Practice Address - Street 2:
Practice Address - City:NORTH RIVER
Practice Address - State:NY
Practice Address - Zip Code:12856
Practice Address - Country:US
Practice Address - Phone:607-351-0369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No252Y00000XAgenciesEarly Intervention Provider Agency