Active NPI
Yacine Benhacene, PT
- Physical Therapist
- Plano, TX
National Provider Identifier
1225757891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1252383
- Practice address
- 1111 Jupiter Rd Ste 100B
Plano, TX 75074-7028 - Phone
- (469) 326-0999
- NPI assigned
- Aug 25, 2022
- 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 | 1252383 | TX | Primary |
Addresses
Primary practice location
1111 Jupiter Rd Ste 100B
Plano, TX 75074-7028
Mailing address
1111 Jupiter Rd Ste 100B
Plano, TX 75074-7028
Phone (469) 326-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1252383 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1225757891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 JUPITER RD STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750747028",
"telephone_number": "469-326-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 JUPITER RD STE 100B",
"city": "PLANO",
"state": "TX",
"postal_code": "750747028",
"telephone_number": "469-326-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENHACENE",
"first_name": "YACINE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1252383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.