Individual provider Active NPI

Joshua Benton, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1821794371
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1372318 Issued in TX
Practice address
750 W Bonds Ranch Rd
Fort Worth, TX 76131-3900
Phone
(682) 428-7532
Fax
(682) 428-7534
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1372318 TX Primary

Addresses

Primary practice location

750 W Bonds Ranch Rd
Fort Worth, TX 76131-3900

Mailing address

2620 Thomas Ave
Dallas, TX 75204-2630
Phone (214) 681-6713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221002613 TX Practitioner - Physical Therapist in Private Practice 1355713330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportherapy LLCGroup PAC ID 0749536308, 45 clinicians

Practice addresses (Care Compare)

750 W Bonds Ranch Rd
Suite 300
Fort Worth, TX 76131-3908
Phone (682) 428-7532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1372318TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

245 W Main St
Azle, TX 76020
Phone (817) 270-2975

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

12457 Timberland Blvd
Ste 205
Fort Worth, TX 76244
Phone (682) 213-3006

2732 W 5th St
Fort Worth, TX 76107
Phone (817) 406-6100

750 W Bonds Ranch Rd
Ste 300
Fort Worth, TX 76131
Phone (682) 428-7532

7630 N Beach St
Ft Worth, TX 76137
Phone (817) 428-9900

3803 E US Highway 377
#200
Granbury, TX 76049
Phone (682) 260-5210

8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700

4108 Boat Club Rd
Lake Worth, TX 76135
Phone (817) 238-9295

167 Regency Pkwy
Ste 105
Mansfield, TX 76063
Phone (682) 341-0076

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1821794371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 THOMAS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042630",
            "telephone_number": "214-681-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W BONDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313900",
            "telephone_number": "682-428-7532",
            "fax_number": "682-428-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1372318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.