Provider Demographics
NPI:1356689830
Name:BENEFIT THERAPY P.C.
Entity Type:Organization
Organization Name:BENEFIT THERAPY P.C.
Other - Org Name:BENEFIT HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:P.T. / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:AUGUST
Authorized Official - Last Name:VAN BATUM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:719-532-1100
Mailing Address - Street 1:5426 N ACADEMY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3687
Mailing Address - Country:US
Mailing Address - Phone:719-532-1100
Mailing Address - Fax:719-532-1109
Practice Address - Street 1:5426 N ACADEMY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3687
Practice Address - Country:US
Practice Address - Phone:719-532-1100
Practice Address - Fax:719-532-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04T305251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14455374Medicaid