Individual provider Active NPI

Benjamin Toolson, DPT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1710349444
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10953735-2401 Issued in UT
Practice address
1490 E Foremaster Dr
Ste 260
St George, UT 84790-4502
Phone
(435) 523-3799
Fax
(435) 523-3376
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3283 NV
Physical Therapist 225100000X 10953735-2401 UT Primary

Addresses

Primary practice location

1490 E Foremaster Dr
Ste 260
St George, UT 84790-4502

Mailing address

1490 E Foremaster Dr Ste 260
St George, UT 84790-4502
Phone (435) 523-3799

Other practice location 1

11201 S Eastern Ave
220
Henderson, NV 89052-6201
Phone (702) 614-0324

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3283NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare Southern Utah LLC PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1710349444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 260",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-523-3799",
            "fax_number": "435-523-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "STE 260",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-523-3799",
            "fax_number": "435-523-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 S Eastern Ave",
            "address_2": "220",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890526201",
            "country_code": "US",
            "telephone_number": "702-614-0324",
            "fax_number": "702-314-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOOLSON",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3283",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10953735-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.