Individual provider Active NPI

Janel Benore, MPT

  • Orthopedic Physical Therapist
  • Saint Joseph, MI
National Provider Identifier
1306064886
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501009220 Issued in MI
Practice address
3408 Niles Rd
Saint Joseph, MI 49085-9601
Phone
(269) 429-5447
Fax
(269) 429-5447
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501009220 MI Primary

Addresses

Primary practice location

3408 Niles Rd
Saint Joseph, MI 49085-9601

Mailing address

916 State St
Saint Joseph, MI 49085-1464
Phone (269) 429-5447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000465 MI Practitioner - Physical Therapist in Private Practice 3375565484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
RX Physical Therapy PLCGroup PAC ID 1759654221, 6 clinicians

Practice addresses (Care Compare)

501 Graham Ave
Benton Harbor, MI 49022-3626
Phone (269) 769-6108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RX Physical Therapy PLC Orthopedic CurrentSince May 16, 2022 Accepting new patients

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306064886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851464",
            "telephone_number": "269-429-5447",
            "fax_number": "269-429-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859601",
            "telephone_number": "269-429-5447",
            "fax_number": "269-429-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENORE",
        "first_name": "JANEL",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501009220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.