Benchmark Physical Therapy and Wellness Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070009288 Issued in IL

Legal business name

BENCHMARK PHYSICAL THERAPY AND WELLNESS CENTER LLC

Practice address

4964 Benchmark Centre Dr
Swansea, IL 62226-2028

Phone

(618) 632-5800

Fax

(618) 632-5855

NPI assigned

Oct 13, 2006

Last updated

Mar 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rich Muntan

Title

Owner

Phone

(618) 632-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Lang

  • Occupational Therapist
  • Swansea, IL
  • NPI 1528822103
  NPD
• Jennifer D Candrl, P.T.

  • Physical Therapist
  • Swansea, IL
  • NPI 1316183130
  NPD (past)
• Steven Robert Huth, P.T.

  • Physical Therapist
  • Swansea, IL
  • NPI 1417098195
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1861582637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4964 BENCHMARK CENTRE DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262028",
            "telephone_number": "618-632-5800",
            "fax_number": "618-632-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4964 BENCHMARK CENTRE DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262028",
            "telephone_number": "618-632-5800",
            "fax_number": "618-632-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK PHYSICAL THERAPY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "MUNTAN",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-632-5800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "8232149",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Debra Jo Bellm, MSW, LCSW
• Christopher Earl Bennett, MPT
• Jamie Benson, LMFT
• Christine Elaine Benton, LPC
• Cory Matthew Berberich
• Angela Berra, LSW

• Physical Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.