Individual provider Active NPI

John C Beneck, PT, OCS

  • Orthopedic Physical Therapist
  • Loveland, CO
National Provider Identifier
1710910609
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3071 Issued in CO
Practice address
3880 N Grant Ave
Suite 100
Loveland, CO 80538-8433
Phone
(970) 663-7780
Fax
(970) 663-7781
NPI assigned
Jul 7, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3071 CO Primary

Addresses

Primary practice location

3880 N Grant Ave
Suite 100
Loveland, CO 80538-8433

Mailing address

2712 Maroon CT
Fort Collins, CO 80525-6148
Phone (970) 229-0431

Other identifiers 1

IdentifierTypeStateIssuer
32776845MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000075 CO Practitioner - Physical Therapist in Private Practice 0143114728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3880 Grant Ave
Suite 100
Loveland, CO 80538-8433
Phone (970) 663-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3071COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Dec 7, 2020 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Aug 18, 2019 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Dec 7, 2020 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Oct 1, 2019 Accepting new patients

Locations

375 E Horsetooth Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 286-2868

4617 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 352-9022

2964 Ginnala Dr
Loveland, CO 80538
Phone (970) 663-6998

3880 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 663-7780

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1710910609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 MAROON CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256148",
            "telephone_number": "970-229-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 N GRANT AVE",
            "address_2": "SUITE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388433",
            "telephone_number": "970-663-7780",
            "fax_number": "970-663-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENECK",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32776845",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.