Individual provider Active NPI

Benigno Espeleta, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1306216338
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037619 Issued in NY
Practice address
817 E 180TH St
Bronx, NY 10460-1305
Phone
(845) 505-3579
NPI assigned
Oct 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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 037619 NY Primary

Addresses

Primary practice location

817 E 180TH St
Bronx, NY 10460-1305

Mailing address

817 E 180TH St
Bronx, NY 10460-1305
Phone (845) 505-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151119000924 NY Practitioner - Physical Therapist in Private Practice 6305146598 Reassigns benefits to 1 organization
I20151210000897 NJ Practitioner - Physical Therapist in Private Practice 6305146598 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037619NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Nov 2, 2015 Accepting new patients
Home Therapy PT Physical and Occupational Therapy LLC CurrentSince Oct 6, 2015 Accepting new patients
Holsman Physical and Occupational Therapy, PC CurrentSince Nov 2, 2015 Accepting new patients
Jireh Healthcare LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Rapha Physical Therapy LLC Physical Therapist PastSince Mar 1, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

799 Morris Park Ave
Bronx, NY 10462
Phone (718) 684-6300

817 E 180th St
Bronx, NY 10460
Phone (718) 220-8300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1306216338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "845-505-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "845-505-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPELETA",
        "first_name": "BENIGNO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.