Active NPI
Elmer Henry Benhardt, LPT
- Physical Therapist
- Conroe, TX
National Provider Identifier
1518904341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1001154
- Practice address
- 4015 Interstate 45 N
Conroe, TX 77304-4901 - Phone
- (936) 522-4731
- Fax
- (936) 522-4737
- NPI assigned
- Jun 1, 2006
- 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 | 1001154 | TX | Primary |
Addresses
Primary practice location
4015 Interstate 45 N
Conroe, TX 77304-4901
Mailing address
4015 Interstate 45 N
Conroe, TX 77304-4901
Phone (936) 522-4731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183822901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1518904341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N",
"city": "CONROE",
"state": "TX",
"postal_code": "773044901",
"telephone_number": "936-522-4731",
"fax_number": "936-522-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N",
"city": "CONROE",
"state": "TX",
"postal_code": "773044901",
"telephone_number": "936-522-4731",
"fax_number": "936-522-4737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENHARDT",
"first_name": "ELMER",
"middle_name": "HENRY",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1001154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183822901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.