Individual provider Active NPI

Jeremy P Benson, PT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1144201435
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007671L Issued in PA
Practice address
4950 Buffalo Rd Ste 104
Erie, PA 16510-2304
Phone
(814) 899-7000
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 PT007671L PA Primary

Addresses

Primary practice location

4950 Buffalo Rd Ste 104
Erie, PA 16510-2304

Mailing address

4950 Buffalo Rd Ste 104
Erie, PA 16510-2304
Phone (814) 899-7000

Other practice location 1

4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Phone (814) 833-7249

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbenson151389@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000487 PA Practitioner - Physical Therapist in Private Practice 6204875198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

4950 Buffalo Rd
Suite 104
Erie, PA 16510-2304
Phone (814) 899-7000

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2021 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Physical Therapist Past Accepting new patients
180 Physical Therapy, Inc. Physical Therapist PastSince May 4, 2009 Accepting new patients
St Vincent Medical Education and Research Institute Inc Past Accepting new patients

Locations

4950 Buffalo Rd
Ste 104
Erie, PA 16510
Phone (814) 899-7000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

Organizations & group practices 9

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1144201435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-899-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BUFFALO RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102304",
            "telephone_number": "814-899-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4247 W Ridge Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165061746",
            "country_code": "US",
            "telephone_number": "814-833-7249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JEREMY",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007671L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbenson151389@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4950 Buffalo Rd Ste 104",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165102304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.