Benjamin R Deutschman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004890 Issued in IA

Practice address

109 N 4TH Ave
Logan, IA 51546-1335

Phone

(712) 644-3456

Fax

(402) 393-9388

NPI assigned

May 26, 2010

Last updated

May 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Horizon Physical Therapy

  • Physical Therapy Clinic/Center
  • Dunlap, IA
  • NPI 1639885049

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Horizon Spine Rehabilitation Inc

  • Physical Therapist
  • Omaha, NE
  • NPI 1538188552
  Medicare reassignment

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1609195916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271639",
            "telephone_number": "402-393-9390",
            "fax_number": "402-393-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 4TH AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "515461335",
            "telephone_number": "712-644-3456",
            "fax_number": "402-393-9388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 South St",
            "address_purpose": "LOCATION",
            "city": "Blair",
            "state": "NE",
            "postal_code": "680082122",
            "country_code": "US",
            "telephone_number": "402-426-0600",
            "fax_number": "402-393-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEUTSCHMAN",
        "first_name": "BENJAMIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004890",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025768700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082113700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025410100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Logan)
• Kathleen Chapman, NP
• Casey Lynne Charbonneau, FNP-BC
• County of Harrison (Harrison County Home and Public Health)
• Eby Drug Store (Logan), Inc
• Empower Chiropractic PLLC
• Empower Family Chiropractic LLC
• Rachel S Francis, DC
• Carrie Lynn Grady, M.D.

• Physical Therapist in Logan, IA
• Providers in Logan, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.