Benjamin J Irwin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1414 Issued in NH

Practice address

22 Hunt St
Nashua, NH 03060-4426

Phone

(603) 889-5450

NPI assigned

Jan 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1194477398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DURHAM ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030632540",
            "telephone_number": "603-881-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HUNT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030604426",
            "telephone_number": "603-889-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine and Kidney Partners PA
• Paul Introcaso
• Simona Ioja, M.D.
• Ivan K Ip, M.D., MPH
• Ann Walsh Irwin, OD
• Vicki Lynn Irwin, L.AC.
• Cynthia Isaacs
• Christine K Isabelle, ARPN
• Tania Isenberger, M.ED
• Ilana Itenberg, DPM

• Physical Therapy Assistant in Nashua, NH
• Providers in Nashua, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.