Active NPI
Benjamin Miller, P.T.
- Physical Therapist
- Attleboro, MA
National Provider Identifier
1285086876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25149
- Practice address
- 59 Springdale Ave
Attleboro, MA 02703-4340 - Phone
- (412) 956-6966
- Fax
- (508) 804-7175
- NPI assigned
- Jul 7, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03366 | RI | |
| Physical Therapist | 225100000X | 40564 | CA | |
| Physical Therapist | 225100000X | 25149 | MA | Primary |
Addresses
Primary practice location
59 Springdale Ave
Attleboro, MA 02703-4340
Mailing address
59 Springdale Ave
Attleboro, MA 02703-4340
Phone (412) 956-6966
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40564 | CA | MD | Marriage & Family Therapist |
| 25149 | MA | MD | Pharmacist |
| PT03366 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Water and Sports Physical Therapy | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1588085625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1285086876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SPRINGDALE AVE",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027034340",
"telephone_number": "412-956-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SPRINGDALE AVE",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027034340",
"telephone_number": "412-956-6966",
"fax_number": "508-804-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BENJAMIN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03366",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40564",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.