Individual
MATTHEW D. BARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
751 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1538
(757) 873-2123
(757) 873-3848
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210654
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306391990
—
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
08/24/2016
Last updated
02/18/2022
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