Active NPI
Jeremy P Benson, PT
- Physical Therapist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007671L
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbenson151389@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Clinic
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 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Physical Therapist | Past | Accepting new patients |
| 180 Physical Therapy, Inc. | Physical Therapist | Past | 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.
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- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1114927530
-
- Ambulatory Surgical Clinic/Center
- Wexford, PA
- NPI 1124439450
-
- Community/Retail Pharmacy
- Wexford, PA
- NPI 1427451764
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Obstetrics & Gynecology Physician
- Sewickley, PA
- NPI 1740608090
-
- Physical Therapy Clinic/Center
- Erie, PA
- NPI 1245476118
Physical Therapist
-
- Physical Therapist
- Wexford, PA
- NPI 1639579212
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
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.