Active NPI
Benjamin A Kuznia, DPT
- Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2877
- 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
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 | 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, ND
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2877 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Physical Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1730159690
ID, Physical Therapist
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.