Individual provider Active NPI

Benjamin Meinking, DPT

  • Physical Therapist
  • Stoughton, WI
National Provider Identifier
1730658741
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
400 N Morris St
Stoughton, WI 53589-1857
Phone
(608) 873-5651
NPI assigned
Nov 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 Primary

Addresses

Primary practice location

400 N Morris St
Stoughton, WI 53589-1857

Mailing address

720 E Gorham St Apt 207
Madison, WI 53703-1589
Phone (608) 797-6824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911002230 WI Practitioner - Physical Therapist in Private Practice 7012246374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

200 Liberty PL
Tomah, WI 54660-1669
Phone (608) 974-5005

3119 Losey Blvd S
La Crosse, WI 54601-7336
Phone (608) 797-6824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Physical Therapist CurrentSince Dec 30, 2024 Accepting new patients
River City Rehab LLC Physical Therapist CurrentSince Jan 18, 2025 Accepting new patients
Fox Rehabilitation Services Wi LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1730658741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E GORHAM ST APT 207",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031589",
            "telephone_number": "608-797-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MORRIS ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891857",
            "telephone_number": "608-873-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINKING",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.