Carol Benjamin, Pt, LLC
Clinic/Center, Physical Therapy in Boulder, CO. Organization (NPI-2).
NPI number1598034308
StatusActive
Last updated in NPPESDec 22, 2011
Details
- NPI
- 1598034308
- Entity type
- Organization (NPI-2)
- Legal business name
- Carol Benjamin, Pt, LLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2011
- Last updated
- Dec 22, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 3878 | CO | Yes |
Practice location
6640 Gunpark DrSuite 102
Boulder, CO 80301-7000
Phone 303-938-3770 · Fax 720-542-8932
Mailing address
2119 Westlake DrLongmont, CO 80503-8102
Phone 303-684-9456
Authorized official
Carol Benjamin
Owner
3039383770
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