Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin John Havenaar, DPT, PT

Individual provider Physical Therapist · NPI 1487363800

Benjamin John Havenaar, DPT, PT is a Physical Therapist in Private Practice in Jenison, Michigan. Qualified in 2019, 7 years ago. Practices with Hulst Jepsen Physical Therapy Inc, a 133-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

610 Baldwin St
Jenison, MI 49428
Phone: (616) 608-8930
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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 LPT-32680 (AZ)

Record details

NPI number1487363800
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedNovember 15, 2022
Last updated in NPPESFebruary 26, 2024
Certification dateNovember 15, 2022
Mailing addressPo Box 30516, Dept 5300, Lansing, MI 48909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hulst Jepsen Physical Therapy Inc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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