NPIMap

Benchmark Physical Therapy of NC, LLC

Organization Active NPI Physical Therapist · Ocean Isle Beach, NC

NPI 1861916660 · NPPES record last updated Aug 2, 2017

Key facts

NPI
1861916660
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
BENCHMARK PHYSICAL THERAPY OF NC, LLC
Practice address
6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670
Phone
(888) 357-9043
Fax
(888) 387-9198
NPI assigned
Aug 2, 2017
Organization subpart
No

Authorized official

Name
Kevin Johanneson
Title
VP Revenue Cycle
Phone
(423) 238-7217

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20161004000926 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052609278 Receives reassigned benefits from 464 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Benchmark Physical Therapy of NC LLC (74 organizations share this tax ID)

Locations

2230 Park Rd
Ste 104
Charlotte, NC 28203
Phone (704) 919-1280

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X

Addresses

Primary practice location

6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564

Other names

  • BenchMark PT - Ocean Isle Other name

Other providers in Ocean Isle Beach, NC

All providers in Ocean Isle Beach, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.