Individual provider Active NPI

Brittany Benachowski, DPT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1992560742
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12916 Conamar Dr Ste 103
Hagerstown, MD 21742-2760
Phone
(301) 665-3731
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 Primary

Addresses

Primary practice location

12916 Conamar Dr Ste 103
Hagerstown, MD 21742-2760

Mailing address

12916 Conamar Dr Ste 103
Hagerstown, MD 21742-2760
Phone (301) 665-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240302000215 MD Practitioner - Physical Therapist in Private Practice 1850736620 Reassigns benefits to 1 organization
I20250717002673 WV Practitioner - Physical Therapist in Private Practice 1850736620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Canyon LLCGroup PAC ID 1052618352, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

12916 Conamar Dr
Suite 103
Hagerstown, MD 21742-2760
Phone (301) 665-3731

5801 Williamsport Pike
Suite 200
Martinsburg, WV 25404-6590
Phone (304) 249-1599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Red Canyon, LLC Physical Therapist Current Accepting new patients
Red Canyon, LLC Physical Therapist CurrentSince Feb 2, 2024 Accepting new patients
Red Canyon, LLC Physical Therapist CurrentSince Feb 2, 2024 Accepting new patients

Locations

801 Toll House Ave
Ste H3
Frederick, MD 21701
Phone (240) 575-9260

12916 Conamar Dr
Ste 103
Hagerstown, MD 21742
Phone (301) 665-3731

5801 Williamsport Pike
Ste 200
Martinsburg, WV 25404
Phone (304) 244-5442

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1992560742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12916 CONAMAR DR STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422760",
            "telephone_number": "301-665-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12916 CONAMAR DR STE 103",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422760",
            "telephone_number": "301-665-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENACHOWSKI",
        "first_name": "BRITTANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.