Individual provider Active NPI

Benjamin E Keene, PT, DPT,OCS, FAAOMPT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1730173428
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1141844 Issued in TX
Practice address
3508 Far West Blvd
Suite 240
Austin, TX 78731-3080
Phone
(512) 832-9411
Fax
(512) 832-9401
NPI assigned
Sep 8, 2005
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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 1141844 TX Primary

Addresses

Primary practice location

3508 Far West Blvd
Suite 240
Austin, TX 78731-3080

Mailing address

3508 Far West Blvd
Suite 240
Austin, TX 78731-3080
Phone (512) 832-9411

Other identifiers 2

IdentifierTypeStateIssuer
166525901MedicaidTX
8T2545OtherTXBCBS INDIV PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000626 TX Practitioner - Physical Therapist in Private Practice 7719958610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Manual Therapy Associates, PCGroup PAC ID 4082685953, 4 clinicians

Practice addresses (Care Compare)

3508 Far W Blvd
Suite 240
Austin, TX 78731-2281
Phone (512) 832-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Manual Therapy Associates, PC Orthopedic CurrentSince Jun 1, 2004 Accepting new patients

Locations

3508 Far West Blvd
Ste 240
Austin, TX 78731
Phone (512) 832-9411

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, 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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1730173428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD",
            "address_2": "SUITE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313080",
            "telephone_number": "512-832-9411",
            "fax_number": "512-832-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD",
            "address_2": "SUITE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313080",
            "telephone_number": "512-832-9411",
            "fax_number": "512-832-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "BENJAMIN",
        "middle_name": "E",
        "credential": "PT, DPT,OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1141844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166525901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIV PROVIDER ID",
            "identifier": "8T2545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.