Benjamin Scott England, PT, DPT, CSCS

Key facts

NPI: 1053977355
Entity type: Individual (NPI type 1)
Primary specialty: Orthopedic Physical Therapist 2251X0800X
License: 05013330A (IN)
Practice address: 12912 Coldwater Rd Ste 9C
Fort Wayne, IN 46845-8870
Phone: (260) 739-0300
NPI assigned: May 13, 2019
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Spine Technology and Rehabilitation, P.C. Physical Medicine & Rehabilitation Physician · Angola, IN · NPI 1154304186

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Spine Technology and Rehabilitation, P.C.		Past since Jul 5, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopedic Physical Therapist	2251X0800X	05013330A	IN	Yes

Addresses

Primary practice location

12912 Coldwater Rd Ste 9C
Fort Wayne, IN 46845-8870

Mailing address

1775 Breckenridge Pass
Fort Wayne, IN 46845-8666
Phone (740) 403-9133

Other identifiers

Identifier	Type	State	Issuer
05013330A	Other	IN	PT LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2019.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1053977355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BRECKENRIDGE PASS",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458666",
            "telephone_number": "740-403-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12912 COLDWATER RD STE 9C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458870",
            "telephone_number": "260-739-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLAND",
        "first_name": "BENJAMIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05013330A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "05013330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Orthopedic Physical Therapist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.