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

Ediberto Barrera III

Individual provider Physical Therapist · NPI 1720434376

Ediberto Barrera III is a Physical Therapist in Private Practice in Lebanon, Tennessee. Qualified in 2015, 11 years ago. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2016
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Practice location Address checks out

404 N Castle Heights Ave Ste G
Lebanon, TN 37087-1511
Phone: (615) 443-4938
Fax: (615) 443-4151
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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 10730 (TN)

Record details

NPI number1720434376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESMay 12, 2016
Mailing addressPo Box 681478, Franklin, TN 37068-1478

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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