Benjamin W Neal, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044629 Issued in NY

Practice address

8112 Ny-12
1
Barneveld, NY 13304

Phone

(315) 896-4330

NPI assigned

Sep 20, 2019

Last updated

Sep 20, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1629629712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILL ST",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 NY-12",
            "address_2": "1",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "13304",
            "telephone_number": "315-896-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Main St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NY",
            "postal_code": "133161301",
            "country_code": "US",
            "telephone_number": "315-245-5286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 French Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131037",
            "country_code": "US",
            "telephone_number": "315-266-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134414018",
            "country_code": "US",
            "telephone_number": "315-336-3480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "BENJAMIN",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Barneveld, NY
• Providers in Barneveld, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.