Active NPI
Robert Urban, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Brookville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 05013803A
- Practice address
- 11051 State Road 101
Brookville, IN 47012-8836 - Phone
- (423) 176-5647
- NPI assigned
- Mar 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 05013803A | IN | Primary |
Addresses
Primary practice location
11051 State Road 101
Brookville, IN 47012-8836
Mailing address
1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374
Phone (765) 983-3127
Other practice location 1
2021 Chester Blvd
Richmond, IN 47374-1235
Phone (765) 983-3092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250627000921 | IN | Practitioner - Physical Therapist in Private Practice | 9931612520 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013803A | IN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients |
Locations
11051 State Road 101
Ste D
Brookville, IN 47012
Phone (765) 647-7669
2021 Chester Blvd
Richmond, IN 47374
Phone (765) 827-6724
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1033818752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PARKWAY",
"address_2": "MEDICAL STAFF SERVICES",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-983-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11051 STATE ROAD 101",
"city": "BROOKVILLE",
"state": "IN",
"postal_code": "470128836",
"telephone_number": "423-176-5647"
}
],
"practiceLocations": [
{
"address_1": "2021 Chester Blvd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741235",
"country_code": "US",
"telephone_number": "765-983-3092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URBAN",
"first_name": "ROBERT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-02",
"last_updated": "2025-02-07",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "05013803A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.