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
- Last updated
- Jul 21, 2022
- 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
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 | Pharmacist |
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, 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": "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": [],
"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.