Individual provider Active NPI

Benjamin Thomas Carr, PT, DPT

  • Physical Therapist
  • Lompoc, CA
National Provider Identifier
1295569432
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306702 Issued in CA
Practice address
1201 E Ocean Ave
Lompoc, CA 93436-7081
Phone
(805) 735-8365
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 306702 CA Primary

Addresses

Primary practice location

1201 E Ocean Ave
Lompoc, CA 93436-7081

Mailing address

1815 N Mendonca St
Visalia, CA 93291-8574
Phone (559) 737-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241210000662 CA Practitioner - Physical Therapist in Private Practice 1355877697 Reassigns benefits to 2 organizations
I20250714003919 MA Practitioner - Physical Therapist in Private Practice 1355877697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dufer LLCGroup PAC ID 9032356423, 12 clinicians

Practice addresses (Care Compare)

235 Cypress St
Suite 110
Brookline, MA 02445-6777
Phone (617) 860-6430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dufer LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 6, 2025 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 6, 2025 Accepting new patients
Advanced Performance Physical Therapy and Rehabilitation, Inc Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1201 E Ocean Ave
Lompoc, CA 93436
Phone (805) 735-8365

1201 E Ocean Ave
Ste A
Lompoc, CA 93436
Phone (805) 686-5370

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

25 Drydock Ave
Boston, MA 02210
Phone (617) 266-0323

235 Cypress St
Ste 110
Brookline, MA 02445
Phone (617) 860-6430

Interoperability endpoints

  • Direct secure messaging: benjamin.carr.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1295569432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 N MENDONCA ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918574",
            "telephone_number": "559-737-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367081",
            "telephone_number": "805-735-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.