Kerstin M Benya, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

12010 Conway Rd
Saint Louis, MO 63131-2417

Phone

(314) 991-0795

NPI assigned

Mar 21, 2006

Last updated

Dec 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• SSM Select Rehab St. Louis, LLC

  dba SSM Physical Therapy

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1760441406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 CONWAY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312417",
            "telephone_number": "314-991-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 CONWAY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312417",
            "telephone_number": "314-991-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYA",
        "first_name": "KERSTIN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT00888",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrad Lee Benton, LMT, MMP
• Twoanda Benton, PHLEBOTOMIST
• Hope Bentrup
• Jennifer Bentz, MD
• Jeffrey Michael Benware, PH.D.
• Margaret R Benz, APRN-BC
• Mattea B Benz, OTR/L
• Stephen M Benz, M.D.
• George Richard Benzinger III, MD
• Tammie Lee Benzinger, MD

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.