John Anthony Benson, P.T.
Individual provider Active NPI Physical Therapist · Fenton, MI
NPI 1720021322 · NPPES record last updated Nov 24, 2007
Key facts
- NPI
- 1720021322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501003785 (MI)
- Practice address
- 400 Rounds Dr
Fenton, MI 48430-1724 - Phone
- (810) 750-1996
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Michigan LLC
Practice addresses (Care Compare)
400 Rounds Dr
Fenton, MI 48430-1724
Phone (810) 750-1996
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080121000101 | MI | Practitioner - Physical Therapist in Private Practice | 6608957212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501003785 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501003785 | MI | Yes |
Addresses
Primary practice location
400 Rounds Dr
Fenton, MI 48430-1724
Mailing address
5440 Wildwood Dr
Howell, MI 48843-9184
Phone (810) 750-1996
Other providers in Fenton, MI
- Bethany Anne Bedford
- Debra Ann Beever-Gorski
- Joellen Bender
- Jamie Kay Benedict
- Donna Benford
- Cherrisse Catherine Benwell-Hearty
- Prashant Bhasin
- Amy Bigelow
- Laura Beth Blanchard
- Cathy Blondin
All providers in Fenton, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.