Active NPI
Benchmark Physical Therapy of NC, LLC
- Physical Therapist
- Havelock, NC
National Provider Identifier
1194493577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BENCHMARK PHYSICAL THERAPY OF NC, LLC
- Practice address
- 537 US Highway 70 W Unit 102
Havelock, NC 28532-9499 - Phone
- (252) 215-5757
- Fax
- (252) 565-1748
- NPI assigned
- Sep 1, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Benchmark Physical Therapy of NC LLC
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
NPPES NPI RegistryPrimary practice location
537 US Highway 70 W Unit 102
Havelock, NC 28532-9499
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2021.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630454400000",
"number": "1194493577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 US HIGHWAY 70 W UNIT 102",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285329499",
"telephone_number": "252-215-5757",
"fax_number": "252-565-1748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENCHMARK PHYSICAL THERAPY OF NC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "BARGANIER",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "205-536-7602"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.