Look up the most recent NPI and PECOS records

Rene Barro

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

4434 Amboy Rd, Staten Island, NY 10312-3866

(718) 227-7015 (631) 580-5200

PECOS Enrollment

Based on the most recent information from CMS, provider Rene Barro does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1568650851
Provider Type
Individual
Full Name
Barro, Rene
Credential
PT

Gender
Male
Sole Proprietor
No
Enumeration Date
10/11/2007
Last Updated
5/14/2009

Contact Information

Practice Location

4434 Amboy Rd, Staten Island, NY 10312-3866

(718) 227-7015

(718) 227-6411

Mailing Location

4175 Veterans Memorial Hwy, Suite 202, Ronkonkoma, NY 11779-7639

(631) 580-5200

(631) 580-5222

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 024546 New York

Provider Identifiers

ID	Description	Issuer
ID 02927219	Description Medicaid	Issuer Unlisted New York

Rene Barro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wakeham, George

Monahan, Jennifer Anne

Labbate, Daniela

Gardella, Michelle A

Distefano, Claudia

Balboa Pt

Hubner, Doris A

Vlassenko, Nicholas

Childs, Brandi Diane

Patel, Palvi