Active NPI
Benjamin Craig Swinehart, DPT
- Physical Therapist
- New Haven, IN
National Provider Identifier
1073673430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009041A
- Practice address
- 10876 Isabelle Dr.
New Haven, IN 46774 - Phone
- (260) 748-2233
- Fax
- (260) 748-2277
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009041A | IN | Primary |
Addresses
Primary practice location
10876 Isabelle Dr.
New Haven, IN 46774
Mailing address
4251 Lahmeyer Rd
Fort Wayne, IN 46815-5676
Phone (260) 432-4700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4423623 | Other | IN | AETNA |
| 000000487806 | Other | IN | ANTHEM BCBS |
| 200837920A | Medicaid | IN | |
| 1424 | Other | IN | PHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampt Advanced Manual Physical Therapy Specialty PT Clinics, LLC | Past | Accepting new patients | |
| Indiana Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Indianapolis, IN
- NPI 1285819664
-
- Physical Therapy Clinic/Center
- Bluffton, IN
- NPI 1629110192
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1073673430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 LAHMEYER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155676",
"telephone_number": "260-432-4700",
"fax_number": "260-459-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10876 ISABELLE DR.",
"city": "NEW HAVEN",
"state": "IN",
"postal_code": "46774",
"telephone_number": "260-748-2233",
"fax_number": "260-748-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINEHART",
"first_name": "BENJAMIN",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009041A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4423623",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000487806",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200837920A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1424",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.