Active NPI
Wendy Benton, P.T.
- Physical Therapist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214303
- Practice address
- 436 Flintlock Rd
Chesapeake, VA 23322-5480 - Phone
- (443) 745-2392
- NPI assigned
- Mar 3, 2008
- Last updated
- Jun 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 296561 | CA | |
| Physical Therapist | 225100000X | 22469 | MD | |
| Physical Therapist | 225100000X | 2305214303 | VA | Primary |
Addresses
Primary practice location
436 Flintlock Rd
Chesapeake, VA 23322-5480
Mailing address
436 Flintlock Rd
Chesapeake, VA 23322-5480
Phone (443) 745-2392
Other practice location 1
7505 Greenway Center Dr
301
Greenbelt, MD 20770-3507
Phone (301) 474-6505
Other practice location 2
4960 Verdugo Way
Camarillo, CA 93012-8632
Phone (805) 384-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, VA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296561 | CA | MD | Physical Therapist |
| 22469 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Two Trees Physical Therapy & Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Strong and Steady Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4960 Verdugo Way
Camarillo, CA 93012
Phone (805) 222-4731
2100 Solar Dr
Ste 204
Oxnard, CA 93036
Phone (805) 222-6563
3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Chesapeake, VA
- NPI 1871161299
Physical Therapist
-
dba Two Trees Physical Therapy
- Physical Therapist
- Ventura, CA
- NPI 1770830325
-
- Physical Therapist
- Fairfax, VA
- NPI 1235720848
-
dba Two Trees Ortho
- Physical Therapist
- Ventura, CA
- NPI 1205453305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623542400000",
"number": "1083884498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 FLINTLOCK RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233225480",
"telephone_number": "443-745-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 FLINTLOCK RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233225480",
"telephone_number": "443-745-2392"
}
],
"practiceLocations": [
{
"address_1": "7505 Greenway Center Dr",
"address_2": "301",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207703507",
"country_code": "US",
"telephone_number": "301-474-6505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4960 Verdugo Way",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930128632",
"country_code": "US",
"telephone_number": "805-384-8050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTON",
"first_name": "WENDY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2021-06-13",
"certification_date": "2021-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296561",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22469",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.