Benjamin Ellis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4037 Issued in ME

Practice address

420 Franklin St
Rumford, ME 04276-2104

Phone

(207) 369-1099

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2014By the provider in NPPES

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 ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

52.18

Promoting interoperability

99

Improvement activities

20

Cost

95.77

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.

• Mountain Motion Physical Therapy LLC

  • Physical Therapist
  • Bethel, ME
  • NPI 1043089592
  Medicare reassignment NPD Authorized official
• Central Maine Clinical Associates Corporation

  • Family Medicine Physician
  • Lewiston, ME
  • NPI 1356676688
  Medicare reassignment NPD
• Rumford Hospital

  • Critical Access Hospital
  • Rumford, ME
  • NPI 1205991122
  Medicare reassignment NPD
• Central Maine Clinical Associates

  dba Turner Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Turner, ME
  • NPI 1801254669
  NPD
• Rumford Hospital

  dba Rumford Hospital Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Rumford, ME
  • NPI 1982742482
  NPD
• Rumford Community Family Health Center, Inc.

  dba Swift River Family Medicine

  • Rural Health Clinic/Center
  • Rumford, ME
  • NPI 1578599775
  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1477957801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1732",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042171732",
            "telephone_number": "207-776-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-369-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BENJAMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Matthew Doroghazi, MD
• Penny J Douphinett, LMSW-C
• Alison Dube, LCPCC
• Tammy Dunning, RDH,IPDH
• Candace Durgin, CADC
• Sarah Ellis, O.D.
• Peter C. Everett, O.D.
• Scott Fraser
• Deborah A Frino, OT
• Travis James Frost

• Physical Therapist in Rumford, ME
• Providers in Rumford, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.