Individual provider Active NPI

Benjamin A Kuznia, DPT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1144518937
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2877 Issued in ID
Practice address
5520 N Eagle Rd
Suite 102
Boise, ID 83713-2700
Phone
(208) 938-5255
Fax
(208) 938-5545
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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 PT-2877 ID Primary

Addresses

Primary practice location

5520 N Eagle Rd
Suite 102
Boise, ID 83713-2700

Mailing address

1560 S Carol St
Meridian, ID 83646-1839
Phone (208) 288-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110805000212 ID Practitioner - Physical Therapist in Private Practice 2466621529 Reassigns benefits to 1 organization
I20150520001814 ND Practitioner - Physical Therapist in Private Practice 2466621529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabauthority LLCGroup PAC ID 1355333931, 48 clinicians

Practice addresses (Care Compare)

701 Demers Ave
Suite B
Grand Forks, ND 58201-4506
Phone (701) 772-2220

720 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 552-5025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2877IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabauthority, LLC Physical Therapist CurrentSince Jul 18, 2011 Accepting new patients

Locations

1109 S Broadway Ave
Ste 120
Boise, ID 83706
Phone (208) 473-4410

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

943 N Linder Rd
Ste 104
Kuna, ID 83634
Phone (208) 922-1719

1560 S Carol St
Meridian, ID 83646
Phone (208) 495-4317

3170 43rd St S
Ste 101
Fargo, ND 58104
Phone (701) 277-8448

701 Demers Ave
#B
Grand Forks, ND 58201
Phone (701) 772-2200

Organizations & group practices 1

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1144518937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S CAROL ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461839",
            "telephone_number": "208-288-1155",
            "fax_number": "208-288-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 N EAGLE RD",
            "address_2": "SUITE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132700",
            "telephone_number": "208-938-5255",
            "fax_number": "208-938-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNIA",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.