Benjamin Miles Agadoni
Individual provider Active NPI Physical Therapist · Scottsdale, AZ
NPI 1639923741 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1639923741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033554 (AZ)
- Practice address
- 8679 E San Alberto
Scottsdale, AZ 85258-4368 - Phone
- (480) 447-3262
- NPI assigned
- Apr 15, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033554 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CJPS Home Care, LLC | Current |
Accepting new patients | |
| Stellar Home Health, LLC | Past |
Accepting new patients |
Locations
8679 E San Alberto
Scottsdale, AZ 85258
Phone (480) 447-3262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033554 | AZ | Yes |
Addresses
Primary practice location
8679 E San Alberto
Scottsdale, AZ 85258-4368
Mailing address
16117 W Sand Hills Rd
Surprise, AZ 85387-1624
Phone (562) 252-6092
Other providers in Scottsdale, AZ
- Affordable Home Care Solutions
- Talayeh Afkhami
- Farhana Afrin
- After Hours Care PLLC
- Zubair Afzal
- Mark Aganon
- Rishi Agarwal
- Agave Anesthesia LLC
- Agave Care Home of Scottsdale LLC
- Agave Hematology Oncology Clinics PLLC
All providers in Scottsdale, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.