Benchmark Physical Therapy of Or, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BENCHMARK PHYSICAL THERAPY OF OR, LLC

Practice address

1034 SE 96TH Ave
Portland, OR 97216-1150

Phone

(123) 456-7890

NPI assigned

Aug 13, 2018

Last updated

Aug 13, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Johanneson

Title

VP Revenue Cycle

Phone

(423) 238-2313

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Oregon City, OR
  • NPI 1013429927

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Portland, OR
  • NPI 1053890756

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Lake Oswego, OR
  • NPI 1184143653

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Ashland, OR
  • NPI 1366935702

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1407365331

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Cave Junction, OR
  • NPI 1467996363

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Tigard, OR
  • NPI 1508346693

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Beaverton, OR
  • NPI 1578066429

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Milwaukie, OR
  • NPI 1629557442

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Beaverton, OR
  • NPI 1700365418

  O20160613001008

  Same enrollment
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1881173623

  O20160613001008

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly Aranda

  • Physical Therapist
  • Gresham, OR
  • NPI 1285226274
  NPD
• Anthony V Matt, P.T.

  • Physical Therapist
  • Lake Oswego, OR
  • NPI 1124146576
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1265911952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SE 96TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161150",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK PHYSICAL THERAPY OF OR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "JOHANNESON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "423-238-2313"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D Benaron, M.D.
• Miriah Elise Benarroch
• Craig C. Benben, D.M.D.
• Benchmark Clinic of Integrative Medicine, PC (The Benchmark Clinic)
• Benchmark Physical Therapy of Or, LLC
• Benchmark Physical Therapy of Oregon LLC
• Benchmark Physical Therapy of Oregon LLC
• Michael Ann Benchoff, MSW
• Alexandria Bender
• Christopher M Bender, MD

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.