Active NPI
Benjamin Timothy Stecker
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1811468473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 900 Matisse Dr Apt 3046
Fort Worth, TX 76107-2481 - Phone
- (563) 370-4425
- NPI assigned
- Dec 7, 2018
- Last updated
- Dec 11, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5377 | NM | |
| Physical Therapist | 225100000X | 60910273 | WA | |
| Physical Therapist | 225100000X | 1276107 | TX | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
900 Matisse Dr Apt 3046
Fort Worth, TX 76107-2481
Mailing address
900 Matisse Dr Apt 3046
Fort Worth, TX 76107-2481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
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 |
|---|---|---|---|
| 5377 | NM | MD | Community Health Worker |
| 1276107 | TX | MD | Physical Therapist |
| 60910273 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1811468473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MATISSE DR APT 3046",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MATISSE DR APT 3046",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072481",
"telephone_number": "563-370-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECKER",
"first_name": "BENJAMIN",
"middle_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-07",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5377",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60910273",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1276107",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Stay the Course
- Stay the Course Veteran Services
- Emily Anne Stayton, OTR
- Blake Stearns, PC-C
- Christine Marie Stearns, AU.D.
- Angelyse Nevae Stecklein
- Chatoria Steed
- Steele Plastic Surgery PLLC (Matthew H Steele MD, Cosmetic and Reconstructive Plastic Surgery)
- Ashley Tue-Hoang Steele, DO
- Jasmine Steele, CPT, CPCT/A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.