Provider Demographics
NPI:1548350630
Name:BARR, JULIE D (MPT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:D
Last Name:BARR
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:NIGG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1901 YOUNGFIELD ST STE 110
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3595
Mailing Address - Country:US
Mailing Address - Phone:720-446-9408
Mailing Address - Fax:
Practice Address - Street 1:1901 YOUNGFIELD ST STE 110
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3595
Practice Address - Country:US
Practice Address - Phone:720-446-9408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27421225100000X, 2251G0304X, 2251P0200X, 2251X0800X
CO0012073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT0274210Medicaid
CAWPT27421AMedicare ID - Type Unspecified