Individual provider Active NPI

Benjamin M Maiers, DPT

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1750713434
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005283 Issued in IA
Practice address
4005 Westmark Dr Ste 320
Dubuque, IA 52002-2271
Phone
(563) 588-3891
Fax
(563) 588-3893
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12390-24 WI
Physical Therapist 225100000X 005283 IA Primary

Addresses

Primary practice location

4005 Westmark Dr Ste 320
Dubuque, IA 52002-2271

Mailing address

4005 Westmark Dr Ste 320
Dubuque, IA 52002-2271
Phone (563) 588-3891

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005283IAMDPhysical Therapist
12390-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dubuque Pediatric Therapies Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1750713434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR STE 320",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR STE 320",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIERS",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12390-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.