Active NPI
Benjamin Meinking, DPT
- Physical Therapist
- Stoughton, WI
National Provider Identifier
1730658741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Physical Therapist | Current | Accepting new patients |
| River City Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Wi LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- La Crosse, WI
- NPI 1740090620
-
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
Physical Therapist, WI
-
- Physical Therapist
- Milwaukee, WI
- NPI 1518483973
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.