Benjamin Holter, | |
3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | |
(218) 444-8280 | |
(218) 444-8337 |
Full Name | Benjamin Holter |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 3835 Supreme Ct Nw Ste 2, Bemidji, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174053482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4485 (Minnesota) | Secondary |
225100000X | Physical Therapist | 05013774A (Indiana) | Primary |
225100000X | Physical Therapist | 10731 (Minnesota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimum Therapies Of North Dakota, Inc | 8628345840 | 5 |
Provider Name | Optimum Therapies Of North Dakota, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679010953 PECOS PAC ID: 8628345840 Enrollment ID: O20170518001424 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Holter, 600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Benjamin Holter, 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 Ph: (218) 444-8280 |
Evan Wohlert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601 Phone: 218-444-8280 | |
Cody Schepp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601 Phone: 218-444-8280 | |
Jarad Syrstad, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5899 | |
Andrea Lynn Brodina, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 677 Anne St Nw, Bemidji, MN 56601 Phone: 218-556-9667 | |
Austin Treadwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1009 15th St Nw, Bemidji, MN 56601 Phone: 901-626-8996 | |
Jordan B Peterson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601 Phone: 218-444-8280 Fax: 218-444-8337 | |
Daltin Schmitz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601 Phone: 218-441-5232 |