Individual provider Active NPI

Benjamin Kuster

  • Sports Physical Therapist
  • Jefferson City, MO
National Provider Identifier
1376923730
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
2002022537 Issued in MO
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

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150720001263 MO Practitioner - Physical Therapist in Private Practice 5193038230 Reassigns benefits to 2 organizations

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
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Central Missouri Physical Therapy LLCGroup PAC ID 6901870187, 59 clinicians

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

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Central Missouri Physical Therapy LLC Sports CurrentSince Jun 4, 2015 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.

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.

Verify at the official NPI Registry.