Active NPI
Benjamin Benjamin Wobker, MS PT
- Physical Therapist
- Redmond, WA
National Provider Identifier
1083772388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008352
- Practice address
- 8495 161 Ave NE
Redmond, WA 98052 - Phone
- (425) 881-3001
- Fax
- (475) 881-3585
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00008352 | WA | Primary |
Addresses
Primary practice location
8495 161 Ave NE
Redmond, WA 98052
Mailing address
209 Kirkland Ave
Kirkland, WA 98033-6503
Phone (425) 629-3502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmond Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Kirkland, WA
- NPI 1962643965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1083772388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 KIRKLAND AVE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336503",
"telephone_number": "425-629-3502",
"fax_number": "425-629-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8495 161 AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-881-3001",
"fax_number": "475-881-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOBKER",
"first_name": "BENJAMIN",
"middle_name": "BENJAMIN",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.