Individual provider Active NPI

Benjamin Huff, PT, DPT

  • Pediatric Rehabilitation Medicine Physician
  • San Diego, CA
National Provider Identifier
1063007359
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
300021 Issued in CA
Practice address
3929 Kansas St Apt 22
San Diego, CA 92104-2917
Phone
(760) 685-6448
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 300021 CA Primary

Addresses

Primary practice location

3929 Kansas St Apt 22
San Diego, CA 92104-2917

Mailing address

3929 Kansas St Apt 22
San Diego, CA 92104-2917
Phone (760) 685-6448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922000653 CA Practitioner - Physical Therapist in Private Practice 6002213840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Creamer Physical Therapy IncGroup PAC ID 4385800275, 5 clinicians

Practice addresses (Care Compare)

181 Jamacha Rd
El Cajon, CA 92019-2357
Phone (619) 447-7774

7946 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4516
Phone (858) 551-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elnel, Inc. a California Corporation Total Physical Therapy CurrentSince Aug 1, 2021 Accepting new patients
Creamer Physical Therapy Inc. CurrentSince Apr 2, 2026 Accepting new patients
JC Chiropractic, P.C. PastSince Aug 1, 2021 Accepting new patients

Locations

311 Broadway
Chula Vista, CA 91910
Phone (619) 422-0404

2417 Fenton St
Ste A
Chula Vista, CA 91914
Phone (619) 422-0404

181 Jamacha Rd
El Cajon, CA 92019
Phone (619) 447-7774

7946 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 551-8882

Organizations & group practices 3

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1063007359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 KANSAS ST APT 22",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042917",
            "telephone_number": "760-685-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 KANSAS ST APT 22",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042917",
            "telephone_number": "760-685-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "BENJAMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CA",
            "license": "300021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.