Active NPI
Benjamin Daniel L'Ecuyer, PT, DPT
- Physical Therapist
- Columbia, MD
National Provider Identifier
1700260429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25555
- Practice address
- 10632 Little Patuxent Pkwy Ste 123
Columbia, MD 21044-6285 - Phone
- (443) 917-2973
- Fax
- (443) 917-2983
- NPI assigned
- Jul 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.015495 | OH | |
| Physical Therapist | 225100000X | 25555 | MD | Primary |
Addresses
Primary practice location
10632 Little Patuxent Pkwy Ste 123
Columbia, MD 21044-6285
Mailing address
2634 Brandermill Blvd
Gambrills, MD 21054-1651
Phone (410) 721-7201
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25555 | MD | MD | Physical Therapist |
| PT.015495 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Frederick, MD
- NPI 1285090696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1700260429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2634 BRANDERMILL BLVD",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541651",
"telephone_number": "410-721-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10632 LITTLE PATUXENT PKWY STE 123",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210446285",
"telephone_number": "443-917-2973",
"fax_number": "443-917-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "L'ECUYER",
"first_name": "BENJAMIN",
"middle_name": "DANIEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-13",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.015495",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.