Basic Information
| Provider Information | |||||||||
| NPI: | 1487655940 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCCUMBER | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 670 LINWOOD AVE | ||||||||
| Address2: | SUITE #2 | ||||||||
| City: | WHITINSVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 015882068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5082347544 | ||||||||
| FaxNumber: | 5082348002 | ||||||||
| Practice Location | |||||||||
| Address1: | 670 LINWOOD AVE | ||||||||
| Address2: | SUITE #2 | ||||||||
| City: | WHITINSVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 015882068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5082347544 | ||||||||
| FaxNumber: | 5082348002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 08/13/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1733 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 6404497 | 01 | MA | UNITED HEALTHCARE | OTHER | 470089 | 01 | MA | TUFTS | OTHER | Y66571 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER |