Individual provider Active NPI

Benjamin Scott Landschoot, PT, DPT

  • Physical Therapist
  • Liverpool, NY
National Provider Identifier
1164082699
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045713-01 Issued in NY
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

Updated by the provider on Jan 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
40QA01858400NJMDPhysical Therapist
045713-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liverpool Physical Therapy, PC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Peterson & Nellis Physical Therapy PC Physical Therapist CurrentSince Dec 9, 2020 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.

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.

Verify at the official NPI Registry.