Individual provider Active NPI

Benjamin Charles Stewart, DPT

  • Physical Therapist
  • York, PA
National Provider Identifier
1619205127
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0013587 Issued in CO
Practice address
2821 East Prospect Rd
York, PA 17402-9213
Phone
(717) 840-1874
Fax
(717) 840-0968
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020285 PA
Physical Therapist 225100000X 0013587 CO Primary

Addresses

Primary practice location

2821 East Prospect Rd
York, PA 17402-9213

Mailing address

4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920-3487
Phone (719) 368-6848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209002231 CO Practitioner - Physical Therapist in Private Practice 2365585049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centura Ventures, LLCGroup PAC ID 8628989043, 30 clinicians

Practice addresses (Care Compare)

3010 N Circle Dr
120 Colorado Sports and Spine Centers
Colorado Springs, CO 80909-1182
Phone (719) 776-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0013587COMDPhysical Therapist
PT020285PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centura Ventures, LLC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado Physical Therapist Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6011 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 571-8100

3010 N Circle Dr
Ste 120
Colorado Springs, CO 80909
Phone (719) 264-1500

1 Mercado St
Ste 201
Durango, CO 81301
Phone (970) 385-0644

4112 Outlook Blvd
Ste 96
Pueblo, CO 81008
Phone (719) 562-6200

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.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1619205127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY",
            "address_2": "STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203487",
            "telephone_number": "719-368-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 EAST PROSPECT RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029213",
            "telephone_number": "717-840-1874",
            "fax_number": "717-840-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BENJAMIN",
        "middle_name": "CHARLES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020285",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0013587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.