Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Barry Dwayne Whiteside, PT

Individual provider Physical Therapist · NPI 1073556973

Barry Dwayne Whiteside, PT is a Physical Therapist in Fort Leonard Wood, Missouri. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

126 Missouri Ave Mcxp-Ccs-Cr
Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-0417
Fax: (573) 596-0524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2789 (SC)

Record details

NPI number1073556973
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 13, 2026

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