Active NPI
James Stephenson Benak, PT, DPT
- Physical Therapist
- Troy, AL
National Provider Identifier
1376188946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2019
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH9653 | Other | AL | STATE PHYSICAL THERAPIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | leubanks@healthactions.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headland Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Headland, AL
- NPI 1801759931
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.