Individual provider Active NPI

Benjamin Diehl

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1568028694
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5619 Carolina Beach Rd Ste 120
Wilmington, NC 28412-2815
Phone
(910) 790-1976
Fax
(910) 790-1978
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5619 Carolina Beach Rd Ste 120
Wilmington, NC 28412-2815

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 682-8840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805000020 NC Practitioner - Physical Therapist in Private Practice 4183951825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

1999
Suite 119
Mebane, NC 27302
Phone (919) 737-7251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Physical Therapist CurrentSince Feb 5, 2026 Accepting new patients
Zumbro and Connell, Inc Physical Therapist CurrentSince May 1, 2020 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Nov 8, 2025 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Nov 8, 2025 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

350 Stonecroft Ln
Cary, NC 27519
Phone (919) 957-5908

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

14057 US Highway 17
Ste 230
Hampstead, NC 28443
Phone (910) 821-3377

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

Organizations & group practices 7

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1568028694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-682-8840",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 CAROLINA BEACH RD STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122815",
            "telephone_number": "910-790-1976",
            "fax_number": "910-790-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.