Carol Benjamin, PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3878 Issued in CO

Legal business name

CAROL BENJAMIN, PT, LLC

Practice address

6640 Gunpark Dr
Suite 102
Boulder, CO 80301-7000

Phone

(303) 938-3770

Fax

(720) 542-8932

NPI assigned

Dec 22, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Carol Benjamin, P.T.

Title

Owner

Phone

(303) 938-3770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1598034308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 WESTLAKE DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038102",
            "telephone_number": "303-684-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 GUNPARK DR",
            "address_2": "SUITE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803017000",
            "telephone_number": "303-938-3770",
            "fax_number": "720-542-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL BENJAMIN, PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-938-3770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "3878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Therese Carlson, LMFT
• Teri L Carlson, M.D.
• Carly Sedgwick, LLC
• Carlyle Cardiovascular Consultants PLLC
• Renee Stacey Carman, CCC-SLP
• Carol Hathaway-Clark, PH.D., LLC
• Marilyn Natalie Carol, M.D.
• Carolyn Dimson, PH.D., LLC
• Julia Elizabeth Carp, D.O.
• Erin L Carpenter, LCSW

• Physical Therapy Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.