Individual provider Active NPI

Brian Benz, PT

  • Physical Therapist
  • North Syracuse, NY
National Provider Identifier
1619820909
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023099 Issued in NY
Practice address
792 N Main St Ste 100C
North Syracuse, NY 13212-1667
Phone
(315) 458-2552
Fax
(315) 458-2575
NPI assigned
Feb 17, 2026
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 023099 NY Primary

Addresses

Primary practice location

792 N Main St Ste 100C
North Syracuse, NY 13212-1667

Mailing address

792 N Main St Ste 100C
North Syracuse, NY 13212-1667
Phone (315) 458-2552

Other practice location 1

323 Route 5 West
Ste 5
Weedsport, NY 13166
Phone (315) 689-7989

Other practice location 2

364 Madison St
Waterville, NY 13480-1116
Phone (315) 841-3222

Other practice location 3

10 Canalview Mall Ste 5
Fulton, NY 13069-1838
Phone (315) 593-8786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000975 NY Practitioner - Physical Therapist in Private Practice 6406820901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023099NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physical Therapy PLLC Physical Therapist Past Accepting new patients
Primary Physical Therapy PLLC Physical Therapist PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1619820909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121667",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121667",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Route 5 West",
            "address_2": "Ste 5",
            "address_purpose": "LOCATION",
            "city": "Weedsport",
            "state": "NY",
            "postal_code": "13166",
            "country_code": "US",
            "telephone_number": "315-689-7989",
            "fax_number": "315-303-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 Madison St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "NY",
            "postal_code": "134801116",
            "country_code": "US",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Canalview Mall Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130691838",
            "country_code": "US",
            "telephone_number": "315-593-8786",
            "fax_number": "315-595-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZ",
        "first_name": "BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.