Individual provider Active NPI

Joseph Benish, ATC

  • Athletic Trainer
  • Athens, OH
National Provider Identifier
1639733652
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT006380 Issued in OH
Practice address
363 Richland Ave
Athens, OH 45701-3210
Phone
(607) 760-7421
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT006380 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

363 Richland Ave
Athens, OH 45701-3210

Mailing address

1055 Leesburg Dr
Leland, NC 28451-9386
Phone (607) 760-7421

Other practice location 1

1055 Leesburg Dr
Leland, NC 28451-9386
Phone (607) 760-7421

Other practice location 2

1055 Leesburg Dr
Leland, NC 28451-9386
Phone (607) 760-7421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT006380OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1639733652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 LEESBURG DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519386",
            "telephone_number": "607-760-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 RICHLAND AVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013210",
            "telephone_number": "607-760-7421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Leesburg Dr",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284519386",
            "country_code": "US",
            "telephone_number": "607-760-7421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Leesburg Dr",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284519386",
            "country_code": "US",
            "telephone_number": "607-760-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENISH",
        "first_name": "JOSEPH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006380",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.