Individual provider Active NPI

Benjamin Maurer, PHYSICAL THERAPIST

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1710402953
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026170 Issued in PA
Practice address
8950 Dr Martin Luther King Jr St N Ste 101
St Petersburg, FL 33702-3001
Phone
(727) 520-0800
Fax
(727) 520-0313
NPI assigned
Aug 9, 2017
Last updated
Aug 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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 PT026170 PA Primary

Addresses

Primary practice location

8950 Dr Martin Luther King Jr St N Ste 101
St Petersburg, FL 33702-3001

Mailing address

480 Johnson Rd Ste 303
Washington, PA 15301-8936
Phone (724) 223-2061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203000049 SC Practitioner - Physical Therapist in Private Practice 0749556397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collective Therapy CorpGroup PAC ID 0143651802, 75 clinicians

Practice addresses (Care Compare)

1973 Faison Ave
Fort Mill, SC 29708-8433
Phone (704) 285-8207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12967SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Therapy Corp. Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients
Devoted Medical Equipment PLLC Physical Therapist PastSince Apr 19, 2023 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. PastSince Aug 9, 2017 Accepting new patients
Charlotte Neuroscience Foundation PastSince Aug 15, 2025 Accepting new patients

Locations

5028 Holloway Dr
Fort Mill, SC 29715
Phone (704) 285-8207

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1710402953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 JOHNSON RD STE 303",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018936",
            "telephone_number": "724-223-2061",
            "fax_number": "724-223-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-520-0800",
            "fax_number": "727-520-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "BENJAMIN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.