Benjamin Curtis Fannin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017494 Issued in OH

Practice address

10400 Reading Rd Ste 105
Cincinnati, OH 45241-4839

Phone

(513) 733-3370

Fax

(513) 786-7893

NPI assigned

May 30, 2018

Last updated

May 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in OH, KY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GMS Therapy and Fitness LLCGroup PAC ID 0042603870, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• GMS Therapy and Fitness LLC

  • Physical Therapist
  • Park Hills, KY
  • NPI 1619634771

  OH

  Medicare reassignment Care Compare group NPD Authorized official
• Orthopaedic Physical Therapy and Associates Inc.

  dba DBA Premier Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Cincinnati, OH
  • NPI 1255335048
  Medicare reassignment NPD
• Rehabilitation Institute of Cincinnati, LLC

  • Physical Therapy Clinic/Center
  • Cincinnati, OH
  • NPI 1396995908
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1528550258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 READING RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414839",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 READING RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414839",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "BENJAMIN",
        "middle_name": "CURTIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "017494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Fangman, RN
• Margaret Fangman, MA -CCC
• Sarah Fangman
• Angela Marie Fanizza-Orphanos, M.D.
• Alexis Fannin, PT, DPT
• Kelsey Fannin
• Alexandra Jillian Fanning, RN
• Jessica Fanning
• Juliet H Fanning
• Michele D Fanning, SWT

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.