Individual provider Active NPI

Bambi Renae Monroe, PT

  • Physical Therapist
  • Belpre, OH
National Provider Identifier
1689624314
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001347 Issued in WV
Practice address
2434 Richmiller LN Unit B
Belpre, OH 45714-1075
Phone
(740) 423-1500
Fax
(740) 423-1504
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001347 WV Primary

Addresses

Primary practice location

2434 Richmiller LN Unit B
Belpre, OH 45714-1075

Mailing address

1500 Grand Central Ave Ste 101
Vienna, WV 26105-1079
Phone (304) 693-2781

Other identifiers 2

IdentifierTypeStateIssuer
2197457MedicaidOH
0157773000MedicaidWV

Other names 1

  • Bambi Renae Harmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060531000210 WV Practitioner - Physical Therapist in Private Practice 5890706022 Reassigns benefits to 1 organization
I20080207000041 OH Practitioner - Physical Therapist in Private Practice 5890706022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079
Phone (304) 295-3016

2434 Richmiller Ave
Suite B
Belpre, OH 45714-1043
Phone (740) 423-1500

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001347WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist CurrentSince May 1, 2000 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy, CurrentSince Nov 22, 2019 Accepting new patients
Athens Xray LLC Past Accepting new patients

Locations

2434 Richmiller Ln
Unit B
Belpre, OH 45714
Phone (740) 423-1500

611 2nd St
Ste A
Marietta, OH 45750
Phone (740) 568-0650

55 White Oak Woods Dr
Vincent, OH 45784
Phone (740) 678-8000

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1689624314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE STE 101",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079",
            "telephone_number": "304-693-2781",
            "fax_number": "304-693-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 RICHMILLER LN UNIT B",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141075",
            "telephone_number": "740-423-1500",
            "fax_number": "740-423-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "BAMBI",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197457",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157773000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAMBI",
            "last_name": "HARMON",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.