Active NPI
Benjamine Van Heck, DPT
- Physical Therapist
- Amsterdam, NY
National Provider Identifier
1730690595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042077
- Practice address
- 100 Sandy Dr
Amsterdam, NY 12010-8191 - Phone
- (518) 843-3503
- NPI assigned
- Oct 19, 2017
- Last updated
- Oct 19, 2017
- 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 | 042077 | NY | Primary |
Addresses
Primary practice location
100 Sandy Dr
Amsterdam, NY 12010-8191
Mailing address
41 Church St
Waterloo, NY 13165-4100
Phone (226) 246-0798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042077 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1730690595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CHURCH ST",
"city": "WATERLOO",
"state": "NY",
"postal_code": "131654100",
"telephone_number": "226-246-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SANDY DR",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120108191",
"telephone_number": "518-843-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HECK",
"first_name": "BENJAMINE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.