Kevin Jude Bender, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5017 Issued in HI

Practice address

1827 Wells St Ste 2
Wailuku, HI 96793-2370

Phone

(808) 244-0077

NPI assigned

Apr 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Rise Physical Therapy IncGroup PAC ID 2062636079, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (4 of 5)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Rise Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1083038764

  CA

  Medicare reassignment Care Compare group
• Elnel, Inc. a California Corporation Total Physical Therapy

  • Physical Therapy Clinic/Center
  • Chula Vista, CA
  • NPI 1386681732

  CA, Physical Therapist

  Medicare reassignment NPD
• Advanced Integrated Manual Physical Therapy, PA

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1831277078
  NPD (past)
• Gold Coast Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1316714850
  NPD (past)
• JC Chiropractic, P.C.

  • Chiropractor
  • Chula Vista, CA
  • NPI 1083110274
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1770926271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-879-0077",
            "fax_number": "808-879-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 WELLS ST STE 2",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932370",
            "telephone_number": "808-244-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "KEVIN",
        "middle_name": "JUDE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28105",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick J. Beech, MD
• Behavioral Health Associates of Hawaii, LLC
• Behavioral Health Services of Maui, LLC
• Larry Allen Belcher, D.C.
• Derik Tyrone Bell
• James A Bendon, MD
• Benjamin B Massenburg IV MD Inc
• Stephanie Benjamin, RBT
• Miriam Berchuk
• Deeva Berera

• All providers in Wailuku, HI
• Orthopedic Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.

Verify at the official NPI Registry.