Active NPI
Benjamin Cortez Laxamana, PHYSICAL THERAPIST
- Physical Therapist
- Vacaville, CA
National Provider Identifier
1205096559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28375
- Practice address
- 342 Dale CT
Vacaville, CA 95688-9472 - Phone
- (707) 685-6077
- Fax
- (707) 514-7178
- NPI assigned
- Jun 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28375 | CA | Primary |
Addresses
Primary practice location
342 Dale CT
Vacaville, CA 95688-9472
Mailing address
342 Dale CT
Vacaville, CA 95688-9472
Phone (707) 685-6077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28375 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484352000000",
"number": "1205096559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 DALE CT",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889472",
"telephone_number": "707-685-6077",
"fax_number": "707-514-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 DALE CT",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889472",
"telephone_number": "707-685-6077",
"fax_number": "707-514-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAXAMANA",
"first_name": "BENJAMIN",
"middle_name": "CORTEZ",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2017-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "28375",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
- Richard G. Lasslo, MD
- Laura Prelipceanu Optometry Corporation
- Charlene Florina Laurel, RPH
- Joey Law, PHARM.D.
- Lawrence E. Roth, DDS, MSD, Inc. (Roth Orthodontics)
- Jeamielyn Santiago Laxamana, PHYSICAL THERAPIST
- Nicolas Richard Lazarewicz, FNP
- Blanca Rosa Lazaro Vega
- Margaret Tuyetmai Le
- Minh T. Le, PHARM.D., M.P.H.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.