Active NPI
Benjamin G Benesh, PT
- Physical Therapist
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10170024
- Practice address
- 324 Washington Ave
Oshkosh, WI 54901-5042 - Phone
- (920) 305-7910
- NPI assigned
- Mar 7, 2006
- Last updated
- Apr 8, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10170024 | WI | Primary |
Addresses
Primary practice location
324 Washington Ave
Oshkosh, WI 54901-5042
Mailing address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone (920) 991-2561
Other practice location 1
200 S Oakwood Rd
Oshkosh, WI 54904-7802
Phone (920) 305-7910
Other practice location 2
3303 W 20th Ave
Oshkosh, WI 54904-9249
Phone (920) 305-7910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40472100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2105 E Enterprise Ave
Suite 113
Appleton, WI 54913-7862
Phone (920) 991-2561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10170024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy & Sports Medicine SC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy & Sports Medicine SC | Physical Therapist | Current | Accepting new patients |
Locations
2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000
2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083
101 Camelot Dr
Ste 4
Fond du Lac, WI 54935
Phone (920) 929-9712
1370 N Shawano St
Ste E
New London, WI 54961
Phone (920) 249-7171
200 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 305-7910
324 Washington Ave
Oshkosh, WI 54901
Phone (920) 305-7910
3303 W 20th Ave
Oshkosh, WI 54904
Phone (920) 230-8439
402 Eureka St
Ripon, WI 54971
Phone (920) 560-1000
Organizations & group practices 2
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.
-
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- Appleton, WI
- NPI 1407857790
Physical Therapist
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- Grand Chute, WI
- NPI 1538858857
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1427025527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E ENTERPRISE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137862",
"telephone_number": "920-991-2561",
"fax_number": "920-991-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 WASHINGTON AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015042",
"telephone_number": "920-305-7910"
}
],
"practiceLocations": [
{
"address_1": "200 S Oakwood Rd",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047802",
"country_code": "US",
"telephone_number": "920-305-7910",
"fax_number": "920-305-7910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3303 W 20th Ave",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549049249",
"country_code": "US",
"telephone_number": "920-305-7910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENESH",
"first_name": "BENJAMIN",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10170024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40472100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.