John Michael Bienvenu

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH5309 Issued in AL

Practice address

651 Main St
Suite 115
Gardendale, AL 35071-2789

Phone

(205) 608-3113

Fax

(205) 608-3036

NPI assigned

Feb 7, 2007

Last updated

Aug 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Clinic of Lafayette, Inc.Group PAC ID 9931283223, 11 clinicians

MTS-LGH Therapy Services LLCGroup PAC ID 1052683174, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MTS-LGH Therapy Services LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1972024081
  Medicare reassignment Care Compare group NPD
• Physical Therapy Clinic of Lafayette, Inc.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1538129408
  Medicare reassignment Care Compare group NPD
• Physical Therapy South, Inc

  • Physical Therapist
  • Lafayette, LA
  • NPI 1073604476
  NPD (past)
• The Movement Science Center

  • Physical Therapy Clinic/Center
  • Covington, LA
  • NPI 1013468677
  NPD (past)
• The Movement Science Center

  • Physical Therapist
  • Metairie, LA
  • NPI 1477554442
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1922148287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 MAIN ST",
            "address_2": "SUITE 115",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712789",
            "telephone_number": "205-608-3113",
            "fax_number": "205-608-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 MAIN ST",
            "address_2": "SUITE 115",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712789",
            "telephone_number": "205-608-3113",
            "fax_number": "205-608-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVENU",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT07090",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Bennett Bensko, PHARMD
• Kennedy Benson
• Cody J Berguson, RPH
• Elaine Susan Liaw Bevel, PT, DPT
• BHC - Gardendale (BBH PCN Gardendale)
• Kylie Billups, DPT
• Bio-Medical Applications of Alabama Inc (Gardendale Dialysis Facility)
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care of Gardendale)
• Wanda Bledsoe
• Tia Boglin

• Physical Therapist in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.