Active NPI
Benjamin A Shook, DPT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1841594751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9210
- Practice address
- 3945 E Paradise Falls Dr
#109
Tucson, AZ 85712-6683 - Phone
- (520) 321-0204
- Fax
- (186) 628-1951
- NPI assigned
- Jan 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9210 | AZ | Primary |
Addresses
Primary practice location
3945 E Paradise Falls Dr
#109
Tucson, AZ 85712-6683
Mailing address
PO Box 43085
Tucson, AZ 85733-3085
Phone (520) 321-0204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9210 | Other | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9210 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Tucson, AZ
- NPI 1174670640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841594751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43085",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857333085",
"telephone_number": "520-321-0204",
"fax_number": "186-628-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 E PARADISE FALLS DR",
"address_2": "#109",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126683",
"telephone_number": "520-321-0204",
"fax_number": "186-628-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "BENJAMIN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": null,
"identifier": "9210",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.