Individual provider Active NPI

Benjamin Levi Barrantes, DPT

  • Physical Therapist
  • Paradise Valley, AZ
National Provider Identifier
1306413059
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31809 Issued in AZ
Practice address
10050 N Scottsdale Rd Ste 111
Paradise Valley, AZ 85253-1498
Phone
(602) 592-0940
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31809 AZ Primary

Addresses

Primary practice location

10050 N Scottsdale Rd Ste 111
Paradise Valley, AZ 85253-1498

Mailing address

4324 E Berkeley Rd
Phoenix, AZ 85008-4087
Phone (602) 592-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128000953 AZ Practitioner - Physical Therapist in Private Practice 6901298777 Reassigns benefits to 1 organization
Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1219 E Glendale Ave
Suite 19
Phoenix, AZ 85020-5430
Phone (602) 878-9662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31809AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Redefined LLC Physical Therapist CurrentSince Feb 11, 2024 Accepting new patients

Locations

1219 E Glendale Ave
Ste 19
Phoenix, AZ 85020
Phone (602) 878-9662

6311 N 7th St
Phoenix, AZ 85014
Phone (602) 592-0940

10050 N Scottsdale Rd
Ste 111
Scottsdale, AZ 85253
Phone (480) 368-4900

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1306413059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 E BERKELEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084087",
            "telephone_number": "602-592-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 N SCOTTSDALE RD STE 111",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531498",
            "telephone_number": "602-592-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANTES",
        "first_name": "BENJAMIN",
        "middle_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.