Active NPI
Brad Benton, DPT
- Physical Therapist
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033530
- Practice address
- 918 Ulster Ave
Kingston, NY 12401-1344 - Phone
- (845) 802-7080
- NPI assigned
- Apr 18, 2011
- Last updated
- Feb 4, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033530 | NY | Primary |
Addresses
Primary practice location
918 Ulster Ave
Kingston, NY 12401-1344
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050
Other practice location 1
1450 Route 208
Wallkill, NY 12589-3799
Phone (845) 895-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033530 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Gersch Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Kingston Physical Therapy and Sports Rehab PC | Physical Therapist | Current | Accepting new patients |
| Kingston Physical-Occupational Therapy & Sports Rehab PLLC | Physical Therapist | Current | Accepting new patients |
Locations
280 State Route 299
Ste 1
Highland, NY 12528
Phone (845) 691-9169
340 Plaza Rd
Kingston, NY 12401
Phone (845) 339-4139
Organizations & group practices 3
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.
-
dba Highland Physical Therapy
- Physical Therapist
- Highland, NY
- NPI 1265607931
-
- Physical Therapist
- Kingston, NY
- NPI 1720158900
-
- Occupational Therapist
- Kingston, NY
- NPI 1780634667
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1851681357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 ULSTER AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124011344",
"telephone_number": "845-802-7080"
}
],
"practiceLocations": [
{
"address_1": "1450 Route 208",
"address_purpose": "LOCATION",
"city": "Wallkill",
"state": "NY",
"postal_code": "125893799",
"country_code": "US",
"telephone_number": "845-895-1115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTON",
"first_name": "BRAD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.