MR. BENJAMIN MICHAEL WILT


Address: 13334 W Mill Grove Dr, Gonzales, LA 70737-6564
Phone: 3372587127

MR. BENJAMIN MICHAEL WILT (NPI# 1265840516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265840516
Entity Type Individual
Full Name MR. BENJAMIN MICHAEL WILT
Credential PT, DPT, OCS
Practice Address 13334 W Mill Grove Dr
Gonzales
LA 70737-6564
Practice Telephone 3372587127
Mailing Telephone 3372587127
Enumeration Date 2014-07-31
Last Update Date 2019-01-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
08810 LA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 13334 W MILL GROVE DR
City GONZALES
State LA
Zip Code 70737-6564

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407461593 Scott G Petrie Md Apmc Non-Pharmacy Dispensing Site 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 2020-09-15
1407461981 Bryant Louis Bourgeois Dentist 13317 N Burnside, Gonzales, LA 70737 2020-09-11
1821612631 Kene Anje Hamilton Behavioral Analyst 1028 East Worthy Street, Gonzales, LA 70737 2020-06-08
1801428636 Mercedes Francis Behavior Technician 1023 E W Worthy Rd, Gonzales, LA 70737 2020-02-10
1407347586 Functional Dme Prosthetic/Orthotic Supplier 219 W. Eastbank St., Ste B, Gonzales, LA 70737 2018-05-23
1235631789 Transporting On Purpose Non-emergency Medical Transport (VAN) 42148 Conifer Drive, Gonzales, LA 70737 2018-03-01
1215453121 Michelle Fuller Harris Social Worker 39094 N Angelle Ct, Gonzales, LA 70737 2017-08-22
1215452529 Lani Litchfield Specialist/Technologist 13341 W. Mill Grove Dr, Gonzales, LA 70737 2017-08-08
1326569369 Tyler Joshua Turner Counselor 1923 South Edwards, Gonzales, LA 70737 2017-06-29
1518408046 Margaret Madere Social Worker 2827 S Ruby Street, Gonzales, LA 70737 2017-03-16
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801081799 Kimberly Cyr Physical Therapist 625 S Burnside Ave, Unit #9, Gonzales, LA 70737-3400 2007-09-13
1083641989 Jamie George Smith Physical Therapist 2012 S. Burnside Ave., Suite B, Gonzales, LA 70737-4637 2006-06-27
1902997000 Gus Luis Gutierrez Physical Therapist 1014 West St. Clare Blvd, Suite 1050, Gonzales, LA 70737 2006-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649898990 Johnnie L Kleinschmidt Physical Therapist 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 2020-07-13
1740813534 R R Rehab LLC Physical Therapist 3960 Florida St Ste 3, Mandeville, LA 70448-3340 2020-02-19
1871151399 Amy Laura Stallings Physical Therapist 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 2019-05-30
1467016428 Grant Anthony Falcon Physical Therapist 2531 Dulles Dr, Lafayette, LA 70506-2660 2019-04-25
1184192254 William Keith Mills II Physical Therapist 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 2018-11-07
1225516982 Mallory Kathryn Lott Physical Therapist 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 2018-08-03
1003315607 Matthew Alan Armstrong Physical Therapist 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 2018-02-08
1972040228 Lauren Chappetta King Physical Therapist Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 2017-01-25
1770031197 Jade Jones Physical Therapist 2310 Commons Ct., Unit 2, Ruston, LA 71270 2016-09-14
1316353592 Blake William Brown Physical Therapist 312 Grammont St Ste 302, Monroe, LA 71201-7403 2014-07-08
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Competitor

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City GONZALES
Zip Code 70737

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Dataset Information

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.

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