Active NPI
Benjamin Stuckey, PT, DPT, COTA, CSCS
- Physical Therapist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP030726T
- Practice address
- 680 Kingsborough SQ Ste B
Chesapeake, VA 23320-4988 - Phone
- (757) 547-0434
- Fax
- (757) 547-0625
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16245-24 | WI | |
| Physical Therapist | 225100000X | CP030726T | VA | Primary |
| Physical Therapist | 225100000X | P21981 | NC |
Addresses
Primary practice location
680 Kingsborough SQ Ste B
Chesapeake, VA 23320-4988
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 Kingsborough SQ
Suite B
Chesapeake, VA 23320-4988
Phone (757) 547-0434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21981 | NC | MD | Physical Therapist |
| 16245-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
680 Kingsborough Sq
Ste B
Chesapeake, VA 23320
Phone (757) 547-0434
10518 Spotsylvania Ave
#100
Fredericksburg, VA 22408
Phone (540) 710-5341
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 16
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1538728696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412307",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412307",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 KINGSBOROUGH SQ STE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204988",
"telephone_number": "757-547-0434",
"fax_number": "757-547-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "BENJAMIN",
"credential": "PT, DPT, COTA, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16245-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP030726T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21981",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "Marshfield Clinic",
"address_2": "1000 N Oak Avenue",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.