Benjamin Charles Miscavage, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61495783 Issued in WA

Practice address

2500 W Sims Way Ste 300
Port Townsend, WA 98368-2234

Phone

(360) 385-0610

Fax

(360) 412-6512

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jefferson County Public Hospital District No 2

  dba Jefferson Healthcare

  • Home Health Agency
  • Port Townsend, WA
  • NPI 1346210366
  NPD (past)

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1740097740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W SIMS WAY STE 300",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682234",
            "telephone_number": "360-385-0610",
            "fax_number": "360-412-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SIMS WAY STE 300",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682234",
            "telephone_number": "360-385-0610",
            "fax_number": "360-412-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Maize Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152364268",
            "country_code": "US",
            "telephone_number": "412-926-9984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCAVAGE",
        "first_name": "BENJAMIN",
        "middle_name": "CHARLES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61495783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Miller, LMP
• Vanessa Marie Miller, MA
• Katherine Macomber Millman, L.M.P.
• Arory J Milyard, PHARMD
• Mindwise Medicine LLC (Bear Root Apothecary and Wellness Center)
• Rebecca Adele Mizhir, MFT
• Elisheva Rena Moch, MA, LMHC, ATR
• Dune H Mohr, RN
• Harvey Lee Montgomery
• Jennifer Montjoy, NURSE PRACTITIONER

• Physical Therapist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.