Individual provider Active NPI

Daniel Harry Benson, DPT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1861705576
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 60300653 Issued in WA
Practice address
714 N 65TH St
Seattle, WA 98103-5306
Phone
(231) 468-9395
NPI assigned
Jul 22, 2010
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2326PT MT
Orthopedic Physical Therapist 2251X0800X PT 60300653 WA Primary

Addresses

Primary practice location

714 N 65TH St
Seattle, WA 98103-5306

Mailing address

714 N 65TH St
Seattle, WA 98103-5306
Phone (231) 468-9395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000625 WA Practitioner - Physical Therapist in Private Practice 4284827320 Reassigns benefits to 1 organization
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Forefront Physical Therapy PLLCGroup PAC ID 0941528368, 3 clinicians

Practice addresses (Care Compare)

2230 8TH Ave
Seattle, WA 98121-1906
Phone (231) 577-6593

311 Terry Ave N
Seattle, WA 98109-5222
Phone (206) 279-2870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2326PTMTMDOrthopedic Physical Therapist
PT 60300653WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Fit Physical Therapy, PLLC Current Accepting new patients
Forefront Physical Therapy, PLLC Orthopedic CurrentSince Sep 10, 2012 Accepting new patients
Freestone Rehabilitation, Inc PastSince Jan 12, 2011 Accepting new patients

Locations

2720 4th Ave
Apt 115
Seattle, WA 98121
Phone (206) 279-2870

311 Terry Ave N
Seattle, WA 98109
Phone (206) 279-2870

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.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1861705576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035306",
            "telephone_number": "231-468-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035306",
            "telephone_number": "231-468-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "DANIEL",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "2326PT",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT 60300653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.