Benjamin Wolf, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007930 Issued in AZ

Practice address

3660 W Bethany Home Rd Ste B
Phoenix, AZ 85019-1953

Phone

(602) 626-8851

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Play Smart Pediatric Therapy LLC

  • Occupational Therapist
  • Phoenix, AZ
  • NPI 1770362634
  NPD Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1417508433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21842 N 31ST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271685",
            "telephone_number": "610-291-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 W BETHANY HOME RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191953",
            "telephone_number": "602-626-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "BENJAMIN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M Wojnakowski, CRNA
• Laura Beth Wojtalewicz
• Travis Christian Wolanski
• Brittany Wold
• Solomon T Woldesilassie, DDS
• Caitlyn Wolf
• Eli Wolf, FNP-C
• Elisabeth Wolf
• Erin C Wolf, PA-C
• Heather Wolf, DPT

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.