Benjamin Porter

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21835 Issued in MT

Practice address

850 Holt Dr
Bigfork, MT 59911-6218

Phone

(406) 837-3255

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Physical Therapy and Sports MedicineGroup PAC ID 9032506845, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Physical Therapy and Sports Medicine

  dba Lighthouse PT & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Greenacres, WA
  • NPI 1598364143

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bigfork Physical Therapy & Sports Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Bigfork, MT
  • NPI 1649277799
  NPD (past)
• Lighthouse Physical Therapy, LLC

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1568433092
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1801568514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HOLT DR",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599116218",
            "telephone_number": "406-837-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOLT DR",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599116218",
            "telephone_number": "406-837-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2560",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "21835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaci Lee Monroe, DPT
• Montana Mobile Health, Corp
• Kimberly Murray, PHARMD
• Northern Lights Mental Health & Wellness
• Charlotte Dionne Ohara
• Angie Potts, MS CCC-SLP
• Erin Carlson Price, DMD
• John Matthew Rausch, DDS
• Julieanna Genoun Renner, MFT
• River Bend Physical Therapy and Preventative Care, LLC

• Physical Therapist in Bigfork, MT
• Providers in Bigfork, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.