Individual provider Active NPI

James Stephenson Benak, PT, DPT

  • Physical Therapist
  • Troy, AL
National Provider Identifier
1376188946
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Emma Dr
Troy, AL 36081-2585
Phone
(334) 670-5435
Fax
(334) 670-5234
NPI assigned
Nov 7, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 NU Primary

Addresses

Primary practice location

100 Emma Dr
Troy, AL 36081-2585

Mailing address

1711 College Ave
Jackson, AL 36545-2425
Phone (251) 246-5761

Other identifiers 1

IdentifierTypeStateIssuer
PTH9653OtherALSTATE PHYSICAL THERAPIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leubanks@healthactions.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260124000316 AL Practitioner - Physical Therapist in Private Practice 7618302167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17925 US Hwy 431 N
Headland, AL 36345-8211
Phone (334) 701-1286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Headland Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

17925 US Highway 431 N
Headland, AL 36345
Phone (334) 701-1286

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1376188946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452425",
            "telephone_number": "251-246-5761",
            "fax_number": "251-246-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMMA DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812585",
            "telephone_number": "334-670-5435",
            "fax_number": "334-670-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAK",
        "first_name": "JAMES",
        "middle_name": "STEPHENSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHYSICAL THERAPIST LICENSE",
            "identifier": "PTH9653",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leubanks@healthactions.net",
            "affiliation": "N",
            "address_1": "100 Emma Dr",
            "city": "Troy",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360812585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.

Verify at the official NPI Registry.