Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Holter

Individual provider Physical Therapist · NPI 1174053482

Benjamin Holter is a Physical Therapist in Private Practice in Bemidji, Minnesota. Qualified in 2017, 9 years ago. Practices with Optimum Therapies of North Dakota, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
9
Licensed in
IN, MN
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

3835 Supreme Ct NW Ste 2
Bemidji, MN 56601-4485
Phone: (218) 444-8280
Fax: (218) 444-8337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05013774A (IN)
Physical Therapist Taxonomy 225100000X · Licence 4485 (MN)
Physical Therapist Taxonomy 225100000X · Licence 10731 (MN)

Record details

NPI number1174053482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJuly 21, 2022
Certification dateSeptember 16, 2020
Mailing address600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Optimum Therapies Of North Dakota, Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bemidji