Active NPI
Benjamin Richard Kores, PT
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1346674546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28530
- Practice address
- 17842 NW 2ND St
Pembroke Pines, FL 33029-2806 - Phone
- (954) 367-4000
- NPI assigned
- Aug 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28530 | FL | Primary |
Addresses
Primary practice location
17842 NW 2ND St
Pembroke Pines, FL 33029-2806
Mailing address
7432 Willow Grove PL
Davie, FL 33314-4118
Phone (203) 856-8518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5400 S University Dr
Suite 302
Davie, FL 33328-5310
Phone (754) 206-3722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28530 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People First PT LLC | Physical Therapist | Current | Accepting new patients |
Locations
8620 Griffin Rd
Cooper City, FL 33328
Phone (954) 373-0053
5400 S University Dr
Ste 302
Davie, FL 33328
Phone (754) 206-3772
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": "1377388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377388800000",
"number": "1346674546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7432 WILLOW GROVE PL",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144118",
"telephone_number": "203-856-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17842 NW 2ND ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292806",
"telephone_number": "954-367-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORES",
"first_name": "BENJAMIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-25",
"last_updated": "2013-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "28530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.