NPIMap

Organization Active NPI

Rehabilitation Specialists of Monroe P C

  • Physical Medicine & Rehabilitation Physician
  • Monroe, MI
National Provider Identifier
1255355871
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101008796 Issued in MI
Legal business name
REHABILITATION SPECIALISTS OF MONROE P C
Practice address
905 N Macomb St Ste 3
Monroe, MI 48162-3076
Phone
(734) 241-0560
Fax
(734) 241-3230
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith Roydon Barbour, D.O.NPI 1578584926
Title
President/Owner
Phone
(734) 241-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 5101008796 MI Primary

Addresses

Primary practice location

905 N Macomb St Ste 3
Monroe, MI 48162-3076

Mailing address

905 N Macomb St Ste 3
Monroe, MI 48162-3076
Phone (734) 241-0560

Other identifiers 1

IdentifierTypeStateIssuer
25-0-E8-1005-0OtherMIBCBS OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001790 MI Part B Supplier - Clinic/Group Practice 4981699501 Receives reassigned benefits from 7 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

975 S Monroe St
Ste C
Monroe, MI 48161
Phone (734) 241-0560

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1255355871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MACOMB ST STE 3",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623076",
            "telephone_number": "734-241-0560",
            "fax_number": "734-241-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MACOMB ST STE 3",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623076",
            "telephone_number": "734-241-0560",
            "fax_number": "734-241-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS OF MONROE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "BARBOUR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ROYDON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-241-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101008796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "25-0-E8-1005-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.