CHRISTIAN IBARRA (DPT) – Physical Therapist, NPI 1295561066

CHRISTIAN IBARRA (DPT) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT017374 (GA). The NPI Number for CHRISTIAN IBARRA (DPT) is 1295561066

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN IBARRA (DPT)
NPI
1295561066
Phone
Not provided
Address
709 CANTON RD NE
Enumeration Date
10 September 2024
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707927522
Graduation Year
2024 (2 years ago)
PAC ID
5991230211
Group Practice PAC ID
0941365100
Professional Enrollment ID
I20241124000057
Address ID
GA300608971MA709XXNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for CHRISTIAN IBARRA (DPT)

  • 709 CANTON RD NE

    MARIETTA, GA 300608968

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241124000057IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941365100View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeNY
Occupational Therapist In Private PracticeGA
-TN
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Qualified Speech Language PathologistMI

Reviews

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Frequently asked questions

What number should I use to identify CHRISTIAN IBARRA (DPT) for billing?
Administrative and clinical systems typically use NPI 1295561066 for CHRISTIAN IBARRA (DPT).
Does the public listing show CHRISTIAN IBARRA (DPT) as active?
CHRISTIAN IBARRA (DPT)'s NPI record reflects an active status in NPPES.
Which specialty label fits CHRISTIAN IBARRA (DPT)?
NPPES ties CHRISTIAN IBARRA (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CHRISTIAN IBARRA (DPT)?
The directory associates CHRISTIAN IBARRA (DPT) with Marietta, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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