Individual provider Active NPI

Benjamin Pierce, PT, DPT

  • Orthopedic Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1225622632
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
LPT-31616 Issued in AZ
Practice address
12142 N Rancho Vistoso Blvd
Oro Valley, AZ 85755-1842
Phone
(520) 338-2728
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X LPT-31616 AZ Primary

Addresses

Primary practice location

12142 N Rancho Vistoso Blvd
Oro Valley, AZ 85755-1842

Mailing address

225 Seminole CT
Midland, MI 48642-3559
Phone (989) 488-3125

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
LPT-31616AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Palms Physical Therapy - Oro Valley, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients

Locations

12142 N Rancho Vistoso Blvd
Ste B150
Oro Valley, AZ 85755
Phone (520) 338-2728

7400 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 531-0305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1225622632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SEMINOLE CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423559",
            "telephone_number": "989-488-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 N RANCHO VISTOSO BLVD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551842",
            "telephone_number": "520-338-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BENJAMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT-31616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.