Active NPI
Valerie Benjamin, DPT
- Physical Therapy Clinic/Center
- Austin, TX
National Provider Identifier
1508407974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Practice address
- 5401 La Crosse Ave BLDG C101
Austin, TX 78739-2159 - Phone
- (512) 852-8134
- Fax
- (512) 852-8143
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | TX | Primary |
Addresses
Primary practice location
5401 La Crosse Ave BLDG C101
Austin, TX 78739-2159
Mailing address
5401 La Crosse Ave BLDG C101
Austin, TX 78739-2159
Phone (512) 852-8134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Luna Care Physical Therapy LLC | Current | Accepting new patients | |
| Children'S Hospital Pediatric Associates, Inc | Physical Therapy | Past | Accepting new patients |
Locations
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
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 Therapist
- Southlake, TX
- NPI 1790309656
-
- Ph.D. Medical Genetics
- Houston, TX
- NPI 1881026664
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
Physical Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1508407974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 LA CROSSE AVE BLDG C101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787392159",
"telephone_number": "512-852-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 LA CROSSE AVE BLDG C101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787392159",
"telephone_number": "512-852-8134",
"fax_number": "512-852-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "VALERIE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.