John Benke, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017404 Issued in NY

Practice address

170 E 77TH St
Suite #2
New York, NY 10075-1912

Phone

(212) 249-5332

Fax

(212) 249-9539

NPI assigned

Aug 30, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Premier Physical Therapy and Wellness, PC

  • Physical Therapist
  • New York, NY
  • NPI 1821412495
  NPD (past)
• Premier Physical Therapy and Wellness, PC

  • Physical Therapist
  • New York, NY
  • NPI 1912996141
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1811980436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 3RD AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282167",
            "telephone_number": "212-861-2630",
            "fax_number": "212-861-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E 77TH ST",
            "address_2": "SUITE #2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751912",
            "telephone_number": "212-249-5332",
            "fax_number": "212-249-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "QN2251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Benjamin, SLP
• Sarah Benjamin, PA
• Syndy Benjamin, PA
• Tara Benjamin, MSW
• Aleksandr Benji, F. N. P.
• Mikaela G Benkert
• Amina Benkhoukha, PH.D.
• Talia Benkoe, LMSW
• Keith Benkov, M.D.
• Aaron Benlolo

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.