Individual provider Active NPI

Benjamin Gaines

  • Physical Therapist
  • Sebastian, FL
National Provider Identifier
1801263199
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
801 Wellness Way Ste 100
Sebastian, FL 32958-3783
Phone
(772) 388-9510
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

801 Wellness Way Ste 100
Sebastian, FL 32958-3783

Mailing address

801 Wellness Way Ste 100
Sebastian, FL 32958-3783
Phone (772) 388-9510

Other practice location 1

405 N Wickham Rd Ste 103
Melbourne, FL 32935-8628
Phone (321) 327-8509

Other practice location 2

300 Bahama Dr
Indialantic, FL 32903-3006
Phone (615) 406-3695

Other identifiers 1

IdentifierTypeStateIssuer
PT34493OtherFLPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628000284 FL Practitioner - Physical Therapist in Private Practice 8224346937 Reassigns benefits to 2 organizations

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
Vero Orthopaedics II PAGroup PAC ID 2567454051, 48 clinicians

Practice addresses (Care Compare)

801 Wellness Way
Suite 100
Sebastian, FL 32958-3783
Phone (772) 388-9510

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
82.89
Promoting interoperability
98
Improvement activities
40
Cost
71.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axispro Physical Therapy LLC CurrentSince Jun 6, 2022 Accepting new patients
Vero Orthopaedics II PA CurrentSince Apr 8, 2024 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients

Locations

405 N Wickham Rd
Ste 103
Melbourne, FL 32935
Phone (321) 327-8509

760 Barnes Blvd
Ste 103
Rockledge, FL 32955
Phone (321) 327-8509

801 Wellness Way
Ste 100
Sebastian, FL 32958
Phone (772) 388-9510

3955 Indian River Blvd
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: benjamin.gaines.p1@direct.veroortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1801263199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WELLNESS WAY STE 100",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583783",
            "telephone_number": "772-388-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELLNESS WAY STE 100",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583783",
            "telephone_number": "772-388-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Wickham Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358628",
            "country_code": "US",
            "telephone_number": "321-327-8509",
            "fax_number": "321-327-2130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bahama Dr",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329033006",
            "country_code": "US",
            "telephone_number": "615-406-3695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT34493",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.

Verify at the official NPI Registry.