Individual provider Active NPI

Benjamin Lane Seagraves, D.P.T

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1821300591
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009971 Issued in GA
Practice address
2616 Warm Springs Rd Ste B
Columbus, GA 31904-5688
Phone
(706) 243-0016
Fax
(706) 243-0019
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009971 GA Primary
Athletic Trainer 2255A2300X AT001411 GA

Addresses

Primary practice location

2616 Warm Springs Rd Ste B
Columbus, GA 31904-5688

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001980 TX Practitioner - Physical Therapist in Private Practice 7618169673 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT001411GAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist Current Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients
PT Solutions of Acworth LLC Physical Therapist Past Accepting new patients

Locations

2500 W William Cannon Dr
Ste 409
Austin, TX 78745
Phone (512) 852-8434

747 Highway 71 W
Ste B200
Bastrop, TX 78602
Phone (512) 920-6512

8611 Hillcrest Ave
Ste 150
Dallas, TX 75225
Phone (214) 251-8754

3450 Forest Ln
Ste 220
Dallas, TX 75234
Phone (214) 432-3292

8200 Preston Rd
Ste 125
Plano, TX 75024
Phone (972) 805-2355

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.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1821300591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 WARM SPRINGS RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045688",
            "telephone_number": "706-243-0016",
            "fax_number": "706-243-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVES",
        "first_name": "BENJAMIN",
        "middle_name": "LANE",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009971",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.