Individual provider Active NPI

Benjamin R Riebl, PT, DPT

  • Physical Therapist
  • Cleveland, TX
National Provider Identifier
1073946133
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1232756 Issued in TX
Practice address
102 N Travis Ave
Cleveland, TX 77327-4012
Phone
(281) 592-2884
Fax
(281) 592-3269
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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 1232756 TX Primary

Addresses

Primary practice location

102 N Travis Ave
Cleveland, TX 77327-4012

Mailing address

102 N Travis Ave
Cleveland, TX 77327-4012
Phone (281) 592-2884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131031000714 TX Practitioner - Physical Therapist in Private Practice 7517192412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Physical Therapy LTDGroup PAC ID 3375737422, 4 clinicians
Lake Houston Physical Therapy Limited PartnershipGroup PAC ID 5294643680, 6 clinicians

Practice addresses (Care Compare)

102 N Travis Ave
Cleveland, TX 77327-4012
Phone (281) 592-2884

7840 FM 1960
Suite 408 And409
Humble, TX 77346-2259
Phone (281) 812-6665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1232756TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Physical Therapy LTD Physical Therapist CurrentSince Jul 5, 2016 Accepting new patients
Lake Houston Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

102 N Travis Ave
Cleveland, TX 77327
Phone (281) 592-2884

7840 FM 1960 Rd E
Ste 408
Humble, TX 77346
Phone (281) 812-6665

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1073946133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N TRAVIS AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274012",
            "telephone_number": "281-592-2884",
            "fax_number": "281-592-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N TRAVIS AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274012",
            "telephone_number": "281-592-2884",
            "fax_number": "281-592-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBL",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1232756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.