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

Samuel Mario Barros

Individual provider Physical Therapist · NPI 1548045404

Samuel Mario Barros is a Physical Therapist in Conyers, Georgia. Practices as a sole proprietor. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1603 Georgia Highway 20 NE Ste 201
Conyers, GA 30012-3946
Phone: (770) 929-8411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (GA)
Physical Therapist Taxonomy 225100000X · Licence PT38223 (FL)

Record details

NPI number1548045404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address4846 Nw 107th Psge, Doral, FL 33178-4353

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