Benigno Abuesa Santos Jr, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

21953 Issued in MD

Practice address

11901 Georgia Ave
Wheaton, MD 20902-2001

Phone

(301) 942-2500

NPI assigned

Feb 13, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1376176859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "301-942-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022001",
            "telephone_number": "301-942-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS JR",
        "first_name": "BENIGNO",
        "middle_name": "ABUESA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MD",
            "license": "21953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11901 Georgia Ave",
            "city": "Wheaton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209022001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maya Rubin
• Henry Shunju Sakai, M.D.
• Mohamed Salah, D.C.
• Hannah Salanoa-Ogbechie
• Gregg L Salzman, D.C.
• Linda R Sapin, PH.D
• Mark Scarupa, M.D.
• Hector M Serrano, DDS
• Kellie Danielle Sewell, PMHNP
• Peter Bruce Sherer, MD

• Geriatric Physical Therapist in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Geriatric Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.