Individual provider Active NPI

Benjamin W Stein, PT

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1952949976
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297743 Issued in CA
Practice address
39 Quail CT Ste 300
Walnut Creek, CA 94596-5570
Phone
(925) 977-9300
NPI assigned
Dec 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT297743 CA Primary

Addresses

Primary practice location

39 Quail CT Ste 300
Walnut Creek, CA 94596-5570

Mailing address

39 Quail CT Ste 300
Walnut Creek, CA 94596-5570
Phone (925) 977-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311001432 CA Practitioner - Physical Therapist in Private Practice 7214365907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Beyond Physical Therapy IncGroup PAC ID 4981987716, 4 clinicians

Practice addresses (Care Compare)

39 Quail CT
Suite 300
Walnut Creek, CA 94596-5570
Phone (925) 977-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297743CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Elkind, D C CurrentSince Dec 22, 2019 Accepting new patients
Go Beyond Physical Therapy, Inc CurrentSince Jan 28, 2020 Accepting new patients

Locations

39 Quail Ct
Ste 300
Walnut Creek, CA 94596
Phone (925) 952-9566

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1952949976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965570",
            "telephone_number": "925-977-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965570",
            "telephone_number": "925-977-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "BENJAMIN",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.