Active NPI
Benjamin Kuster
- Sports Physical Therapist
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 2002022537
- Practice address
- 1002 Diamond RDG
Jefferson City, MO 65109-6896 - Phone
- (573) 761-9360
- NPI assigned
- Jun 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 2002022537 | MO | Primary |
Addresses
Primary practice location
1002 Diamond RDG
Jefferson City, MO 65109-6896
Mailing address
302 Ridgeway Dr
Jefferson City, MO 65109-0786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Diamond RDG
Suite 800
Jefferson City, MO 65109-7906
Phone (573) 761-9360
1705 Christy Dr
Suite 200
Jefferson City, MO 65101-5195
Phone (573) 659-5515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Central Missouri Physical Therapy LLC | Sports | Current | Accepting new patients |
| Westside Rehab, Inc | Past | Accepting new patients |
Locations
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
126 S Main St
Gravois Mills, MO 65037
Phone (573) 374-7579
1002 Diamond Rdg
Jefferson City, MO 65109
Phone (573) 761-9360
1002 Diamond Rdg
Ste 800
Jefferson City, MO 65109
Phone (573) 761-9360
1705 Christy Dr
Ste 200
Jefferson Cty, MO 65101
Phone (573) 634-3338
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- Physical Therapy Clinic/Center
- Laurie, MO
- NPI 1689768855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1376923730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 RIDGEWAY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651090786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 DIAMOND RDG",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096896",
"telephone_number": "573-761-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSTER",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MO",
"license": "2002022537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.