Benjamin Thomas Carr, PT, DPT
Individual provider Active NPI Physical Therapist · Lompoc, CA
NPI 1295569432 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1295569432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 306702 (CA)
- Practice address
- 1201 E Ocean Ave
Lompoc, CA 93436-7081 - Phone
- (805) 735-8365
- NPI assigned
- Aug 29, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dufer LLC
Practice addresses (Care Compare)
235 Cypress St
Suite 110
Brookline, MA 02445-6777
Phone (617) 860-6430
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306702 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Dufer LLC | Physical Therapist | Current |
Accepting new patients |
| Golden State Orthopedics & Spine | Current |
Accepting new patients | |
| Advanced Performance Physical Therapy and Rehabilitation, Inc | Physical Therapist | Current |
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
- benjamin.carr.p2@direct.muirortho.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 306702 | CA | Yes |
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
Other providers in Lompoc, CA
- Ramiro Carlos Jr.
- Carnahan Therapy the Work Center, Inc.
- Carnahan Therapy/the Work Center, Inc.
- Juanita L. Carnahan
- Claira Caro
- Sarah Carrillo
- Colleen Carter
- Joseph C Carter
- Estanislao Casares II
- Veronica Cavazos
All providers in Lompoc, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.