Active NPI
Benjmain W Hurston, DPT
- Physical Therapist
- Montgomery, AL
National Provider Identifier
1649636705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH7899
- Practice address
- 7061 Halcyon Summit Dr
Montgomery, AL 36117-6927 - Phone
- (334) 396-2110
- Fax
- (334) 396-2115
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH7899 | AL | Primary |
Addresses
Primary practice location
7061 Halcyon Summit Dr
Montgomery, AL 36117-6927
Mailing address
80 Technacenter Dr
Suite 300
Montgomery, AL 36117-6028
Phone (334) 625-5795
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13774482 | Other | AK | CAQH |
| 511-73438 | Other | AL | BCBS OF AL |
| 511-73432 | Other | AL | BCBS OF AL |
| 511-73434 | Other | AL | BCBS OF AL |
| 511-73440 | Other | AL | BCBS OF AL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1649636705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 TECHNACENTER DR",
"address_2": "SUITE 300",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361176028",
"telephone_number": "334-625-5795",
"fax_number": "334-396-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7061 HALCYON SUMMIT DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361176927",
"telephone_number": "334-396-2110",
"fax_number": "334-396-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURSTON",
"first_name": "BENJMAIN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH7899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13774482",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-73438",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-73432",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-73434",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-73440",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.