Active NPI
Benjamin Wain Worth, MPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1790948792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4300
- Practice address
- 7666 E 61St St Ste 340
Tulsa, OK 74133-1148 - Phone
- (918) 250-3636
- NPI assigned
- Jul 9, 2008
- 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 | 4300 | OK | Primary |
Addresses
Primary practice location
7666 E 61St St Ste 340
Tulsa, OK 74133-1148
Mailing address
14547 N Lantana Blvd
Skiatook, OK 74070-3894
Phone (417) 459-0406
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4300 | OK | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1790948792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14547 N LANTANA BLVD",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740703894",
"telephone_number": "417-459-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7666 E 61ST ST STE 340",
"city": "TULSA",
"state": "OK",
"postal_code": "741331148",
"telephone_number": "918-250-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTH",
"first_name": "BENJAMIN",
"middle_name": "WAIN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.