Individual provider Active NPI

Benson W Howard, PT

  • Physical Therapist
  • Amelia Court House, VA
National Provider Identifier
1255330734
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305006161 Issued in VA
Practice address
10130 Superior Way
Amelia Court House, VA 23002-4744
Phone
(804) 561-1585
Fax
(804) 561-7430
NPI assigned
Jul 18, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 2305006161 VA Primary

Addresses

Primary practice location

10130 Superior Way
Amelia Court House, VA 23002-4744

Mailing address

10130 Superior Way
Amelia Court House, VA 23002-4744
Phone (804) 561-1585

Other identifiers 6

IdentifierTypeStateIssuer
460948OtherVABCBS PROVIDER
39769OtherVACARE NET
199960OtherVASOUTHERN HEALTH PROVIDER
7954419OtherVAAETNA PROVIDER
DB7288OtherVARAIL ROAD MEDICARE
235571OtherVAMAMSI PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000566 VA Practitioner - Physical Therapist in Private Practice 0143289017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amelia Physical Therapy IncGroup PAC ID 4385603232, 2 clinicians

Practice addresses (Care Compare)

10130 Superior Way
Amelia Court House, VA 23002-4744
Phone (804) 561-1585

Merit-based Incentive Payment System (MIPS)

Final score
37.19 of 100Reported as individual
Quality
38.33
Improvement activities
0
Cost
72.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305006161VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Physical Therapy Inc Physical Therapist CurrentSince Feb 12, 2002 Accepting new patients

Locations

10130 Superior Way
Amelia Ct Hse, VA 23002
Phone (804) 561-1585

114 E Broad St
Blackstone, VA 23824
Phone (434) 298-0128

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1255330734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 SUPERIOR WAY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024744",
            "telephone_number": "804-561-1585",
            "fax_number": "804-561-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 SUPERIOR WAY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024744",
            "telephone_number": "804-561-1585",
            "fax_number": "804-561-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "BENSON",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-12-06",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "460948",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE NET",
            "identifier": "39769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH PROVIDER",
            "identifier": "199960",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "7954419",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DB7288",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER",
            "identifier": "235571",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia Court House, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.