Individual provider Active NPI

Benjamin Harrison, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1871851931
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9769 Issued in AZ
Practice address
2571 S Dakota St
Chandler, AZ 85286-4522
Phone
(480) 447-9493
NPI assigned
Apr 26, 2012
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 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 9769 AZ Primary

Addresses

Primary practice location

2571 S Dakota St
Chandler, AZ 85286-4522

Mailing address

2571 S Dakota St
Chandler, AZ 85286-4522
Phone (480) 447-9493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000609 AZ Practitioner - Physical Therapist in Private Practice 1456515741 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9769AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation - Seville, LLC Physical Therapist CurrentSince Nov 6, 2017 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Jul 12, 2022 Accepting new patients
Ben Harrison PT CurrentSince Apr 13, 2025 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Jul 12, 2022 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
360 Physical Therapy LLC Past Accepting new patients
Rehab Plus Orthopedics, LLC Past Accepting new patients
360 Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

3336 E Chandler Heights Rd
Ste 126
Gilbert, AZ 85298
Phone (480) 840-6125

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

Organizations & group practices 8

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1871851931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 S DAKOTA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864522",
            "telephone_number": "480-447-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 S DAKOTA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864522",
            "telephone_number": "480-447-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.