Active NPI
Benjamin Haefner, PT, DPT
- Orthopedic Physical Therapist
- Potomac, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 28591
- Practice address
- 10220 River Rd Ste 2
Potomac, MD 20854-4907 - Phone
- (301) 299-0648
- NPI assigned
- Aug 14, 2021
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 28591 | MD | Primary |
Addresses
Primary practice location
10220 River Rd Ste 2
Potomac, MD 20854-4907
Mailing address
4601 31St Rd S Apt A1
Arlington, VA 22206-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6710 A Rockledge Dr
Suite 120a
Bethesda, MD 20817-2843
Phone (301) 798-4838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28591 | MD | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab 2 Perform LLC | Orthopedic | Current | Accepting new patients |
| Rehab 2 Perform LLC | Current | Accepting new patients |
Locations
6710A Rockledge Dr
Ste 120A
Bethesda, MD 20817
20310 Seneca Meadows Pkwy
#B
Germantown, MD 20876
Phone 3017984838 ext. 2
20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986
1945 Old Gallows Rd
Ste 100
Vienna, VA 22182
Phone (301) 701-3010
Organizations & group practices 4
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.
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- Columbia, MD
- NPI 1295618692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628899200000",
"number": "1790450443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 31ST RD S APT A1",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222061620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 RIVER RD STE 2",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544907",
"telephone_number": "301-299-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAEFNER",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-14",
"last_updated": "2021-08-14",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "28591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.