Active NPI
Benjamin Kagen, DPT
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11715
- Practice address
- 15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691 - Phone
- (480) 940-8299
- Fax
- (480) 704-0888
- NPI assigned
- Sep 9, 2015
- Last updated
- May 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11715 | AZ | Primary |
| Sports Physical Therapist | 2251S0007X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | NU |
Addresses
Primary practice location
15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6632 E Baseline Rd
Suite 102
Mesa, AZ 85206-4428
Phone (408) 219-7519
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11715 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations (25 of 52)
11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832
3165 S Alma School Rd
Ste 30
Chandler, AZ 85248
Phone (480) 281-0414
960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930
115 E Williams Field Rd
Ste 103
Gilbert, AZ 85295
Phone (480) 281-0779
3131 S Market St
Ste 109
Gilbert, AZ 85295
18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089
9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112
380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266
20320 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
Phone (520) 635-2260
1021 N Ellsworth Rd
Mesa, AZ 85207
Phone (480) 213-0070
1021 N Ellsworth Rd
Ste 102
Mesa, AZ 85207
Phone (480) 319-8101
1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337
1752 S Signal Butte Rd
Ste D108
Mesa, AZ 85209
Phone (480) 417-5281
3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512
4360 E Brown Rd
Ste 111
Mesa, AZ 85205
Phone (480) 248-7132
6632 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (408) 219-7519
805 N Dobson Rd
Mesa, AZ 85201
Phone (602) 313-4000
805 N Dobson Rd
Ste 105
Mesa, AZ 85201
Phone (480) 844-3609
10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966
12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009
9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
2005 W Happy Valley Rd
Ste 170
Phoenix, AZ 85085
Phone (623) 322-0654
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.
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1730557620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691",
"telephone_number": "480-940-8299",
"fax_number": "480-704-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGEN",
"first_name": "BENJAMIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11715",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.