Active NPI
Benson W Howard, PT
- Physical Therapist
- Amelia Court House, VA
National Provider Identifier
1255330734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006161
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460948 | Other | VA | BCBS PROVIDER |
| 39769 | Other | VA | CARE NET |
| 199960 | Other | VA | SOUTHERN HEALTH PROVIDER |
| 7954419 | Other | VA | AETNA PROVIDER |
| DB7288 | Other | VA | RAIL ROAD MEDICARE |
| 235571 | Other | VA | MAMSI PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
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
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 100
- Quality
- 38.33
- Improvement activities
- 0
- Cost
- 72.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305006161 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amelia Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Amelia Court House, VA
- NPI 1609838242
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.