Benjamin A Mayer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

OK4995 Issued in OK

Practice address

11462 S Union Ave
Suite E
Jenks, OK 74037

Phone

(918) 417-2607

Fax

(918) 417-2601

NPI assigned

May 27, 2015

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Attain Physical Therapy PLLCGroup PAC ID 1153787403, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Attain Physical Therapy PLLC

  • Physical Therapist
  • Jenks, OK
  • NPI 1144920935
  Medicare reassignment Care Compare group NPD Authorized official
• Osu Health System Anesthesia

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1174581185
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1679952394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11462 S UNION AVE",
            "address_2": "SUITE E",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-417-2607",
            "fax_number": "918-417-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11462 S UNION AVE",
            "address_2": "SUITE E",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-417-2607",
            "fax_number": "918-417-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4008 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741356017",
            "country_code": "US",
            "telephone_number": "918-622-4278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5577 S Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741057132",
            "country_code": "US",
            "telephone_number": "918-749-0003",
            "fax_number": "918-749-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5577 S Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741057132",
            "country_code": "US",
            "telephone_number": "918-749-0003",
            "fax_number": "918-749-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "OK4995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200092180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makarios Solutions LLC
• Vanessa Rene Malott, RN
• Nadia Marin
• Marriage and Family Solutions, LLC (Claire Domeck, M.A., LMFT)
• Natalie Suzanne Mayberry Baumgartner
• Jennifer Mayer, M.S,CCC-SLP
• Lilia McAlvain
• Ve'Shawn McCracken
• Baley McCully
• Micha McCumber, OTR/L

• Physical Therapist in Jenks, OK
• Providers in Jenks, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.