Individual provider Active NPI

Benjamin A Engelhart, DPT

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1689805111
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031191 Issued in NY
Practice address
710 Kersey Rd
Silver Spring, MD 20902-3061
Phone
(301) 704-0304
NPI assigned
Jul 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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 031191 NY Primary

Addresses

Primary practice location

710 Kersey Rd
Silver Spring, MD 20902-3061

Mailing address

710 Kersey Rd
Silver Spring, MD 20902-3061

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

State licenses

LicenseStateTypeSpecialty
031191NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
D E Delopoulos Physical Therapist PastSince Jun 22, 2019 Accepting new patients
Equilibrium Physical Therapy, LLC Physical Therapist PastSince Dec 14, 2004 Accepting new patients

Organizations & group practices 2

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1689805111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KERSEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KERSEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023061",
            "telephone_number": "301-704-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHART",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.