Active NPI
Benjamin D Buenaventura Jr., PT
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2477
- Practice address
- 3233 W Charleston Blvd
107
Las Vegas, NV 89102-1938 - Phone
- (702) 258-9381
- Fax
- (702) 258-9584
- NPI assigned
- May 4, 2011
- Last updated
- Sep 3, 2015
- 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 | 2477 | NV | Primary |
Addresses
Primary practice location
3233 W Charleston Blvd
107
Las Vegas, NV 89102-1938
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3233 W Charleston Blvd
Suite 107
Las Vegas, NV 89102-1923
Phone (702) 258-9381
4000 S Eastern Ave
Suite 300
Las Vegas, NV 89119-0826
Phone (702) 734-2732
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2477 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation, LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
3233 W Charleston Blvd
Ste 107
Las Vegas, NV 89102
Phone (702) 258-9381
4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732
2225 E Centennial Pkwy
Ste 106
North Las Vegas, NV 89081
Phone (702) 936-7165
3155 W Craig Rd
Ste 120140
North Las Vegas, NV 89032
Phone (702) 639-2333
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1609168947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3233 W CHARLESTON BLVD",
"address_2": "107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021938",
"telephone_number": "702-258-9381",
"fax_number": "702-258-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENAVENTURA",
"first_name": "BENJAMIN",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.