Keenan J Barron, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501301981 Issued in MI

Practice address

501 S Lincoln Rd
Escanaba, MI 49829-1276

Phone

(906) 789-2404

Fax

(906) 789-2405

NPI assigned

Aug 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwoods Rehabilitation Inc.Group PAC ID 0941248843, 4 clinicians

Delta County Rehabilitation, Inc.Group PAC ID 8022190149, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Delta County Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Escanaba, MI
  • NPI 1205011624
  Medicare reassignment Care Compare group NPD
• Northwoods Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Gladstone, MI
  • NPI 1437273877
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1558044768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291276",
            "telephone_number": "906-789-2404",
            "fax_number": "906-789-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291276",
            "telephone_number": "906-789-2404",
            "fax_number": "906-789-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRON",
        "first_name": "KEENAN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Baldauf, M.D.
• Pamela Virginia Balentine, PHD, LPC
• James Ball, LBSW, BCABA
• Kirk G Banerian, M.D.
• Mark Lawrence Barinotti, OD
• Tiffany L Barteld, PA
• Nicole Elizabeth Bartoszek, PTA, LMT
• Bonnie Bauman, DPT
• Bay Pines Center
• Beauchamp Chiropractic

• Physical Therapist in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.