Benjamin Pape, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13032-24 Issued in WI

Practice address

3503 E Layton Ave Ste 100
Cudahy, WI 53110-1408

Phone

(414) 489-0270

Fax

(414) 489-0356

NPI assigned

Aug 4, 2015

Last updated

Aug 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Cudahy

  • Rehabilitation Clinic/Center
  • Cudahy, WI
  • NPI 1194396002
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Burlington

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Hayward

  • Rehabilitation Clinic/Center
  • Hayward, WI
  • NPI 1902556012
  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • West Allis, WI
  • NPI 1942571708
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1467838219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE STE C",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441939",
            "telephone_number": "262-925-5000",
            "fax_number": "262-924-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 E LAYTON AVE STE 100",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101408",
            "telephone_number": "414-489-0270",
            "fax_number": "414-489-0356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Washington Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534066516",
            "country_code": "US",
            "telephone_number": "262-583-0790",
            "fax_number": "262-583-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPE",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13032-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100053322",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Carolyn Schultz Pearson, MD

• Physical Therapist in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.