Active NPI
Benjamin Saunders
- Physical Therapist
- Monument, CO
National Provider Identifier
1760899439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12768
- Practice address
- 16055 Old Forest PT
Suite 101B
Monument, CO 80132-8670 - Phone
- (719) 247-8916
- Fax
- (719) 247-8930
- NPI assigned
- Jul 15, 2014
- Last updated
- Nov 12, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 12768 | CO | Primary |
Addresses
Primary practice location
16055 Old Forest PT
Suite 101B
Monument, CO 80132-8670
Mailing address
PO Box 63113
Attn: Northgate Physical Therapy
Colorado Springs, CO 80962-3113
Phone (719) 247-8916
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12768 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northgate Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
16055 Old Forest Pt
Ste 101B
Monument, CO 80132
Phone (719) 247-8916
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Monument, CO
- NPI 1942548839
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1760899439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63113",
"address_2": "ATTN: NORTHGATE PHYSICAL THERAPY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809623113",
"telephone_number": "719-247-8916",
"fax_number": "719-247-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 OLD FOREST PT",
"address_2": "SUITE 101B",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328670",
"telephone_number": "719-247-8916",
"fax_number": "719-247-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "12768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.