Active NPI
Benjamin E Sanchez
- Physical Therapy Assistant
- Palatka, FL
National Provider Identifier
1578026696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA27297
- Practice address
- 110 Kay Larkin Dr FL 32177
Palatka, FL 32177-2300 - Phone
- (386) 325-0173
- NPI assigned
- Apr 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA27297 | FL | Primary |
Addresses
Primary practice location
110 Kay Larkin Dr FL 32177
Palatka, FL 32177-2300
Mailing address
1332 Somerville Rd
Jacksonville, FL 32207-2027
Phone (904) 994-6816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA27297 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1578026696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 SOMERVILLE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072027",
"telephone_number": "904-994-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KAY LARKIN DR FL 32177",
"city": "PALATKA",
"state": "FL",
"postal_code": "321772300",
"telephone_number": "386-325-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "BENJAMIN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA27297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
- Jennifer L. Sadler, L.P.N.
- Virginia T Saldajeno, RPH
- Saltzman, Tanis, Pittel, Levin and Jacobson, LLC
- Christopher Willard Vincent Salzman, M.D.
- Makarios Samir, DC
- Rafael Sanchez Jr., PHARMD
- Rhonda Michelle Sargent, APRN CNM
- Jackie Marie Savage, LMT
- Anne Gordon Schiefer, PHARMD.
- George William Schiffbauer, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.