Individual provider Active NPI

Benjamin Bediako Opoku, PT

  • Physical Therapist
  • Chesapeake Beach, MD
National Provider Identifier
1417438474
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27142 Issued in MD
Practice address
8076 Windward Key Dr
Chesapeake Beach, MD 20732-3185
Phone
(410) 934-4028
Fax
(410) 609-9968
NPI assigned
Aug 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 27142 MD Primary

Addresses

Primary practice location

8076 Windward Key Dr
Chesapeake Beach, MD 20732-3185

Mailing address

1117 Ivy Club LN
Landover, MD 20785-4525
Phone (909) 583-7912

Other practice location 1

1013 Bay Ridge Ave
Annapolis, MD 21403-3031
Phone (909) 583-7912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Feb 13, 2019 Accepting new patients
Ah Concierge Physical Therapy LLC Physical Therapist CurrentSince May 30, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 4

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1417438474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 IVY CLUB LN",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854525",
            "telephone_number": "909-583-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8076 WINDWARD KEY DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323185",
            "telephone_number": "410-934-4028",
            "fax_number": "410-609-9968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Bay Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214033031",
            "country_code": "US",
            "telephone_number": "909-583-7912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPOKU",
        "first_name": "BENJAMIN",
        "middle_name": "BEDIAKO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake Beach, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.