Boyd J Bender, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00002531 Issued in WA

Practice address

194 Sunset Ave
Edmonds, WA 98020-4134

Phone

(425) 776-3348

Fax

(425) 776-3384

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Sports and Spine Physical Therapy Lake City PSGroup PAC ID 2163524182, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Sports and Spine Physical Therapy Lake City PS

  • Physical Therapist
  • Seattle, WA
  • NPI 1184779365
  Medicare reassignment Care Compare group NPD
• Waterfront Sports and Physical Therapy

  • Orthopedic Physical Therapist
  • Shoreline, WA
  • NPI 1164546016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467576157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 1ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SUNSET AVE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204134",
            "telephone_number": "425-776-3348",
            "fax_number": "425-776-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BOYD",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00002531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Wellness, PLLC
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• Elizabeth Anne Bellmer, MA, LMHC, CCHP
• Ben Adams Counseling, LLC
• Deonne Jeanette Benedict, ARNP
• Benjamin Sun DDS PLLC
• Lisa Benjamin
• Martha Bennett, M.D.
• Paul Raymond Benoit, BA RC

• Orthopedic Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.