Benjamin Talino So, BACHELOR'S DEGREE

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4365 Issued in TN

Practice address

14 Lost Treasure CV
Jackson, TN 38305-6036

Phone

(731) 693-7819

Fax

(731) 424-1266

NPI assigned

Nov 15, 2022

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TN Therapy Outsource, LLCGroup PAC ID 2668725664, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• TN Therapy Outsource, LLC

  • Physical Therapist
  • Jackson, TN
  • NPI 1891285185
  Care Compare group

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1508575952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LOST TREASURE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056036",
            "telephone_number": "731-693-7819",
            "fax_number": "731-424-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LOST TREASURE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056036",
            "telephone_number": "731-693-7819",
            "fax_number": "731-424-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "BENJAMIN",
        "middle_name": "TALINO",
        "name_prefix": "Mr.",
        "credential": "BACHELOR'S DEGREE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Smith, OT
• Taylor Michael Smith, PA-C, ATC
• Theresa T Smith, M.D.
• Anthony Joseph Sneed, F.N.P.
• SNH Tenn Tenant LLC
• Samantha Soares, CM
• Connor Sokoloski, PHARMD
• Kyanna Soler, FNP-C
• David J Soll, MD
• Steven Anthony Sopcak, D.C.

• Physical Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.