Active NPI
Benjamin M Dieringer, PT,DPT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1780084137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11040PT
- Practice address
- 9127 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4887 - Phone
- (623) 322-0654
- Fax
- (623) 322-0664
- NPI assigned
- Sep 3, 2014
- Last updated
- Dec 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11040PT | AZ | Primary |
Addresses
Primary practice location
9127 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-4887
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10355 N la Canada Dr
Suite 125
Oro Valley, AZ 85737-7307
Phone (520) 505-4830
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 |
|---|---|---|---|
| 11040PT | AZ | MD | Physical Therapist |
| 11040 | AZ | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1780084137",
"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",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9127 W THUNDERBIRD RD",
"address_2": "SUITE 101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814887",
"telephone_number": "623-322-0654",
"fax_number": "623-322-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERINGER",
"first_name": "BENJAMIN",
"middle_name": "M",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-03",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11040PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.