MR. BENJAMIN PATRICK WARREN P.T.
NPI 1619166576
Physical Therapist in Lexington, KY

Active since October 17, 2007Accepts Medicare Assignment
155 W TIVERTON WAY, LEXINGTON, KY 40503(859) 272-9787 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Benjamin Patrick Warren P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN PATRICK WARREN P.T. (NPI 1619166576) is an individual physical therapist in Lexington, Kentucky, licensed in Kentucky (004967) and active in the NPI registry since October 2007. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1619166576
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. BENJAMIN PATRICK WARRENCredential: P.T.
Location Address155 W TIVERTON WAYLexington, KY 40503-4418
Mailing Address2414 Lake Park Rd Apt 2103Lexington, KY 40502-1339 · (859) 967-6866
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 17, 2007
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1619166576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KY · 004967
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
155 W TIVERTON WAY, Lexington, KY 40503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Benjamin Patrick Warren P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800272444
PECOS Enrollment IDI20221004003657

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Warren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
2355 HUGUENARD DR STE 201A
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
Physical Therapy
880 CORPORATE DR STE 202
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
155 W TIVERTON WAY, SUITE 3
LEXINGTON, KY 40503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Warren's NPI number?

The NPI number for Benjamin Warren is 1619166576. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Benjamin Warren located?

Benjamin Warren practices at 155 W Tiverton Way, Lexington, KY 40503. The listed phone number is (859) 272-9787.

What is Benjamin Warren's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Benjamin Warren enrolled in Medicare?

Yes. Benjamin Warren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Warren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Warren reassigns Medicare benefits to 2 organizations: Thrive Therapies, PLLC (Lexington, KY) and Warren Physical Therapy PLLC (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Warren accept?

Health plans from Anthem Blue Cross and Blue Shield list Benjamin Warren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Warren was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.