Active NPI
Benjamin William Kurtz, D.P.T.
- Physical Therapist
- Vista, CA
National Provider Identifier
1437555489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291545
- Practice address
- 1830 Hacienda Dr Ste 2
Vista, CA 92081-4544 - Phone
- (760) 941-8600
- NPI assigned
- Nov 18, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 291545 | CA | Primary |
Addresses
Primary practice location
1830 Hacienda Dr Ste 2
Vista, CA 92081-4544
Mailing address
1830 Hacienda Dr Ste 2
Vista, CA 92081-4544
Phone (760) 941-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB279765 | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1830 Hacienda Dr
Suite 2
Vista, CA 92081-4544
Phone (760) 941-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291545 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| California Doctors of Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
1830 Hacienda Dr
Ste 2
Vista, CA 92081
Phone (760) 941-8600
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.
-
- Physical Medicine & Rehabilitation Physician
- Vista, CA
- NPI 1891397147
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Pacific Palisades, CA
- NPI 1417242454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1437555489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 HACIENDA DR STE 2",
"city": "VISTA",
"state": "CA",
"postal_code": "920814544",
"telephone_number": "760-941-8600",
"fax_number": "760-941-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 HACIENDA DR STE 2",
"city": "VISTA",
"state": "CA",
"postal_code": "920814544",
"telephone_number": "760-941-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "BENJAMIN",
"middle_name": "WILLIAM",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-18",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CB279765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.