Active NPI
Benjamin Scott Landschoot, PT, DPT
- Physical Therapist
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045713-01
- Practice address
- 718 Old Liverpool Rd
Liverpool, NY 13088-6035 - Phone
- (315) 457-7005
- Fax
- (315) 457-7214
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01858400 | NJ | |
| Physical Therapist | 225100000X | 045713-01 | NY | Primary |
Addresses
Primary practice location
718 Old Liverpool Rd
Liverpool, NY 13088-6035
Mailing address
718 Old Liverpool Rd
Liverpool, NY 13088-6035
Phone (315) 457-7005
Other practice location 1
217 East Ave
Minoa, NY 13116-1205
Phone (315) 656-7277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01858400 | NJ | MD | Physical Therapist |
| 045713-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liverpool Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Peterson & Nellis Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
3090 Belgium Rd
Baldwinsville, NY 13027
Phone (315) 638-0173
718 Old Liverpool Rd
Liverpool, NY 13088
Phone (315) 457-7005
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
207 Pine St
Syracuse, NY 13210
Phone (315) 476-3175
Organizations & group practices 2
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
- Liverpool, NY
- NPI 1154331486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1164082699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 OLD LIVERPOOL RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886035",
"telephone_number": "315-457-7005",
"fax_number": "315-457-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 OLD LIVERPOOL RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886035",
"telephone_number": "315-457-7005",
"fax_number": "315-457-7214"
}
],
"practiceLocations": [
{
"address_1": "217 East Ave",
"address_purpose": "LOCATION",
"city": "Minoa",
"state": "NY",
"postal_code": "131161205",
"country_code": "US",
"telephone_number": "315-656-7277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDSCHOOT",
"first_name": "BENJAMIN",
"middle_name": "SCOTT",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01858400",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045713-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.