Ann Marie Benjamin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

NC2885 Issued in NC

Practice address

2418 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6480

Phone

(919) 782-5954

Fax

(919) 782-6444

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellness One, Inc

  • Physical Therapist
  • Raleigh, NC
  • NPI 1164413902
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306965728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 WADE AVE # 139",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074048",
            "telephone_number": "919-741-4384",
            "fax_number": "919-783-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076480",
            "telephone_number": "919-782-5954",
            "fax_number": "919-782-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "NC2885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5947795",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "079A1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D9500",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Thomas Benesky Jr., PA-C
• Colby Mangun Benevides, MD
• Mary Bengtson, MD
• Benjamin Boyles DDS PA
• Benjamin Tosky, D.C., P.a.
• Jenna Nicole Benjamin, MPT
• Nana Dwemoh Benneh-Hans, M.D.
• Amber E Benner, MS, RD/RDN, LDN
• Abigail Bennett, PA-C, LAT, ATC
• Adam J Bennett, MD

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.