BENJAMIN WILLOW (NPI# 1104287473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104287473 |
| Entity Type | Individual |
| Full Name | BENJAMIN WILLOW |
| Credential | DPT |
| Practice Address |
600 Central Ave Se Suite D Albuquerque NM 87102-3656 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 5052422294 |
| Practice Fax Number | 5052422917 |
| Mailing Telephone | 6302962222 |
| Mailing Fax Number | 6307599510 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2017-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
600 CENTRAL AVE SE SUITE D |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055185 | Leanne M Adell | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-05-30 |
| 1174992689 | Nora J Quintal Calva | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2015-09-15 |
| 1386022762 | Carol Watts | Social Worker | 600 Central Ave Se, Suite 221, Albuquerque, NM 87102-3656 | 2015-05-18 |
| 1598142762 | Rio Grande Neuroscience LLC | Psychologist | 600 Central Ave Se, Suite 221, Albuquerque, NM 87102-3656 | 2015-04-27 |
| 1164821310 | Crystal Laura Jane Montoya | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2014-08-13 |
| 1730501883 | Anthony R Roddy | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2014-01-08 |
| 1548436629 | Julia Ann Jordan | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2008-05-07 |
| 1265620496 | Sandia Neuromonitoring LLC | Psychiatry & Neurology | 600 Central Ave Se, Suite 204, Albuquerque, NM 87102-3656 | 2007-10-12 |
| 1265520928 | Achievements,inc. | Day Training, Developmentally Disabled Services | 600 Central Ave Se, Suite F, Albuquerque, NM 87102-3656 | 2006-10-10 |
| 1164433082 | Patrick John Mcgowan | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686316 | Clark Bearsmith | Physical Therapist | 7849 Tramway Blvd Ne, Albuquerque, NM 87122-2515 | 2018-10-25 |
| 1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
| 1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
| 1154426971 | Linda Marie Mcclanahan | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2006-09-14 |
| 1922055185 | Leanne M Adell | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-05-30 |
| 1144797432 | Scoliosis Abq LLC | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1376010660 | Susan Halbig | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1326597980 | Brigit Barre | Physical Therapist | 4400 Lead Ave Se, Albuquerque, NM 87108-2844 | 2016-09-23 |
| 1831542406 | Julianne Keith | Physical Therapist | 6330 Riverside Plaza Ln Nw, Suite 150, Albuquerque, NM 87120-2681 | 2016-07-19 |
| 1942690789 | Diane Datz | Physical Therapist | 6330 Riverside Plaza Ln Nw, 303, Albuquerque, NM 87120-2681 | 2015-02-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on BENJAMIN WILLOW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.