Individual provider Active NPI

Benjamin G Benesh, PT

  • Physical Therapist
  • Oshkosh, WI
National Provider Identifier
1427025527
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10170024 Issued in WI
Practice address
324 Washington Ave
Oshkosh, WI 54901-5042
Phone
(920) 305-7910
NPI assigned
Mar 7, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 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

IdentifierTypeStateIssuer
40472100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000401 WI Practitioner - Physical Therapist in Private Practice 1850306101 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
10170024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Advanced Physical Therapy & Sports Medicine SC Physical Therapist CurrentSince Oct 1, 2020 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.

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.

Verify at the official NPI Registry.