Active NPI
Alvin Ortega Benemerito, RPT
- Physical Therapist
- Bassett, NE
National Provider Identifier
1437330495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1353
- Practice address
- 102 E South St
RCH Rehab Department
Bassett, NE 68714-5508 - Phone
- (402) 684-3366
- Fax
- (413) 431-5660
- NPI assigned
- Nov 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1353 | NE | Primary |
| Physical Therapist | 225100000X | 0932 | SD |
Addresses
Primary practice location
102 E South St
RCH Rehab Department
Bassett, NE 68714-5508
Mailing address
PO Box 38
621 North Main St
Long Pine, NE 69217-0038
Phone (402) 273-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1353 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1437330495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"address_2": "621 NORTH MAIN ST",
"city": "LONG PINE",
"state": "NE",
"postal_code": "692170038",
"telephone_number": "402-273-3164",
"fax_number": "413-431-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E SOUTH ST",
"address_2": "RCH REHAB DEPARTMENT",
"city": "BASSETT",
"state": "NE",
"postal_code": "687145508",
"telephone_number": "402-684-3366",
"fax_number": "413-431-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEMERITO",
"first_name": "ALVIN",
"middle_name": "ORTEGA",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1353",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0932",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bassett, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.