Individual provider Active NPI

Benjamin Homan

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1649900978
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030414 Issued in PA
Practice address
1325 W 26TH St
Erie, PA 16508-1469
Phone
(814) 452-4447
NPI assigned
Jun 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030414 PA Primary

Addresses

Primary practice location

1325 W 26TH St
Erie, PA 16508-1469

Mailing address

4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Phone (814) 833-7249

Other practice location 1

4247 W Ridge Rd Ste 104
Erie, PA 16506-1746
Phone (814) 833-7249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117000923 PA Practitioner - Physical Therapist in Private Practice 9931690161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

3266 W 26TH St
Suite 2
Erie, PA 16506-2508
Phone (814) 738-6670

4247 W Ridge Rd St
104 Ahn Therapy Services
Erie, PA 16506-1746
Phone (814) 833-7249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030414PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Rehab Solutions LLC Physical Therapist CurrentSince Oct 21, 2025 Accepting new patients
Allegheny Clinic CurrentSince Oct 13, 2025 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Physical Therapist PastSince Oct 21, 2025 Accepting new patients

Locations

4247 W Ridge Rd
#104
Erie, PA 16506
Phone (814) 833-7249

4247 W Ridge Rd
Ste 104
Erie, PA 16506
Phone (814) 833-7249

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

Interoperability endpoints

  • Direct secure messaging: benjamin.l.homan@upmcdirect.com

Organizations & group practices 5

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1649900978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-833-7249",
            "fax_number": "814-838-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081469",
            "telephone_number": "814-452-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4247 W Ridge Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165061746",
            "country_code": "US",
            "telephone_number": "814-833-7249",
            "fax_number": "814-838-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.