NPIMap

Organization Active NPI

Debenedictus Physical Therapy

  • Physical Therapy Clinic/Center
  • Rhinebeck, NY
National Provider Identifier
1639808454
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DEBENEDICTUS PHYSICAL THERAPY
Doing business as
Advanced Movement Therapy
Practice address
878 Mill Rd
Rhinebeck, NY 12572-3631
Phone
(845) 629-7132
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Jared Debenedictus, PT, DPT, ATCNPI 1629443650
Title
Owner/Therapist
Phone
(845) 629-7132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

878 Mill Rd
Rhinebeck, NY 12572-3631

Mailing address

878 Mill Rd
Rhinebeck, NY 12572-3631
Phone (845) 629-7132

Other names 1

  • Advanced Movement Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1639808454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 MILL RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723631",
            "telephone_number": "845-629-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 MILL RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723631",
            "telephone_number": "845-629-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBENEDICTUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "DEBENEDICTUS",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "845-629-7132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Movement Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.