Benjamin Welch Britton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11042 Issued in MN

Practice address

2104 Northdale Blvd NW
Coon Rapids, MN 55433-3028

Phone

(763) 755-5495

Fax

(763) 862-0342

NPI assigned

Jul 18, 2018

Last updated

Aug 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revival Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Robbinsdale, MN
  • NPI 1730943424
  NPD Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1376029751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 COMSTOCK LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111578",
            "telephone_number": "952-220-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333028",
            "telephone_number": "763-755-5495",
            "fax_number": "763-862-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073723",
            "country_code": "US",
            "telephone_number": "612-863-5327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRITTON",
        "first_name": "BENJAMIN",
        "middle_name": "WELCH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Sylvester Breitbach, DDS
• Jordan A Brewster, M.D.
• Brian J Greteman, DPM, PA
• Breanna Grace Brierley
• Julie Brisco, LP
• Angela Brod
• Barry O Brodsky, CRNA
• Sarah Jean Bronner, M.D.
• Devon Broome
• Renea Brown, RN, CPNP

• Physical Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.