Individual provider Active NPI

Zachary Benning

  • Physical Therapist
  • Kenai, AK
National Provider Identifier
1063149367
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004546 Issued in WV
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7500
NPI assigned
Aug 5, 2022
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 PT004546 WV Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

19 Larchmont Dr
Huntington, WV 25705-2207

Other practice location 1

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 858-6169

Other practice location 2

407 E Main St
Auburn, WA 98002-5504
Phone (253) 545-0044

Other identifiers 1

IdentifierTypeStateIssuer
1758108MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, DE, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221006001967 WA Practitioner - Physical Therapist in Private Practice 1850777335 Reassigns benefits to 1 organization
I20221228000373 DE Practitioner - Physical Therapist in Private Practice 1850777335 Reassigns benefits to 2 organizations
I20251120003599 ID Practitioner - Physical Therapist in Private Practice 1850777335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ieg Zenergy, LLCGroup PAC ID 9830477587, 7 clinicians

Practice addresses (Care Compare)

245 Raven Rd
Suite B
Ketchum, ID 83340
Phone (208) 726-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004546WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Aug 12, 2022 Accepting new patients
Ieg Zenergy, LLC Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
Multicare Health System CurrentSince Aug 12, 2022 Accepting new patients
Syracuse Physical Therapy Partners Physical Therapist CurrentSince Jan 6, 2023 Accepting new patients
Zenergy Partners LLC Physical Therapist CurrentSince Dec 13, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients

Locations

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

26744 John J Williams Hwy
Millsboro, DE 19966
Phone (302) 945-4250

26744 John J Williams Hwy
Unit 6
Millsboro, DE 19966
Phone (302) 945-4250

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1063149367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LARCHMONT DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-858-6169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 E Main St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980025504",
            "country_code": "US",
            "telephone_number": "253-545-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNING",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758108",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.