Charles A Benford Sr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0223 Issued in MS

Practice address

5888 Ridgewood Rd
Suite B
Jackson, MS 39211-2644

Phone

(601) 978-1798

Fax

(601) 978-1799

NPI assigned

Mar 8, 2007

Last updated

Nov 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Capitol Physical Therapy, PA

  • Physical Therapist
  • Jackson, MS
  • NPI 1518177971
  Authorized official Same address or phone

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1780715854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 RIDGEWOOD RD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112644",
            "telephone_number": "601-978-1798",
            "fax_number": "601-978-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 RIDGEWOOD RD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112644",
            "telephone_number": "601-978-1798",
            "fax_number": "601-978-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENFORD",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05855578",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "640830003",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Bellan Jr., MD
• Ben W. Seale, M.D., PLLC
• Anna Claire Benafield
• Bender Dental Associates
• Laura Lee Smith Beneke, MD
• Sherrice Benford, PTA
• Dustin Benge, CRNA
• Jenna C Benge
• Allison Derrick Bennett, M.D.
• Amanda M Bennett, COTA/L

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.