Individual provider Active NPI

Benjamin J Hill, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1447339304
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9350 Issued in AZ
Practice address
3321 E Queen Creek Rd
#106
Gilbert, AZ 85297-8530
Phone
(480) 550-9100
Fax
(480) 550-9100
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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 9350 AZ Primary

Addresses

Primary practice location

3321 E Queen Creek Rd
#106
Gilbert, AZ 85297-8530

Mailing address

3321 E Queen Creek Rd
#106
Gilbert, AZ 85297-8530
Phone (480) 550-9100

Other identifiers 2

IdentifierTypeStateIssuer
624670MedicaidAZ
18081OtherBOARD CERTIFIED ORTHOPEDIC SPECIALTIST (OCS)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000225 AZ Practitioner - Physical Therapist in Private Practice 0749249324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Sports Medicine LLCGroup PAC ID 6800228479, 40 clinicians

Practice addresses (Care Compare)

10450 E Riggs Rd
Suite 104
Sun Lakes, AZ 85248-7759
Phone (612) 888-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Sports Medicine LLC CurrentSince Oct 15, 2021 Accepting new patients
Modern Sports Medicine LLC Orthopedic CurrentSince Oct 15, 2021 Accepting new patients
Morgan Physical Therapy & Fitness Center Inc PastSince Jun 20, 2011 Accepting new patients

Locations

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969

3321 E Queen Creek Rd
Ste 106
Gilbert, AZ 85297
Phone (480) 522-1046

10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224

Organizations & group practices 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1447339304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 E QUEEN CREEK RD",
            "address_2": "#106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978530",
            "telephone_number": "480-550-9100",
            "fax_number": "480-550-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 E QUEEN CREEK RD",
            "address_2": "#106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978530",
            "telephone_number": "480-550-9100",
            "fax_number": "480-550-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624670",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED ORTHOPEDIC SPECIALTIST (OCS)",
            "identifier": "18081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.