Benton Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BENTON PHYSICAL THERAPY, LLC

Practice address

235 Fairburn Ave
Benton, LA 71006-4904

Phone

(318) 935-9075

Fax

(318) 935-9076

NPI assigned

Oct 4, 2017

Last updated

Aug 18, 2022By 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

William Douglas JamesNPI 1124403555

Title

PT/Partner

Phone

(318) 935-9075

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

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.

• William Douglas James, D.P.T.

  • Physical Therapist
  • Minden, LA
  • NPI 1124403555
  Medicare reassignment Care Compare group NPD Authorized official
• Noah Hartline

  • Physical Therapist
  • Benton, LA
  • NPI 1972316131
  Medicare reassignment Care Compare group NPD
• Regina Roe McPhearson, D.P.T.

  • Physical Therapist
  • Coushatta, LA
  • NPI 1528308798
  Medicare reassignment Care Compare group NPD
• Richard Dale McPhearson, DPT,MTC

  • Physical Therapist
  • Benton, LA
  • NPI 1073740692
  Medicare reassignment Care Compare group NPD
• Stephen Todd Zachary, DPT

  • Physical Medicine & Rehabilitation Physician
  • Haughton, LA
  • NPI 1114416732
  Medicare reassignment Care Compare group NPD
• Jake Conly, PT, DPT

  • Physical Therapist
  • Bossier City, LA
  • NPI 1710561915
  Medicare reassignment NPD
• Taylor McCarty

  • Physical Therapist
  • Benton, LA
  • NPI 1265041206
  NPD

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1972013969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710780280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FAIRBURN AVE",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064904",
            "telephone_number": "318-935-9075",
            "fax_number": "318-935-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PT/PARTNER",
        "authorized_official_telephone_number": "318-935-9075"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arklatex Apothecary, LLC (Arklatex Apothecary)
• Benton Family Dentistry LLC
• Benton Family Medicine, LLC
• Benton Medical
• Benton Medical Clinic, LLC
• Carl Richard Bibbee II, PHARMD
• Courtney Brooks, FNP
• Brookshire Grocery Company (Brookshires Pharmacy)
• Ricarter Sylvester Broomes
• Lindsey Tassin Brown

• Physical Therapy Clinic/Center in Benton, LA
• Providers in Benton, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.