Benjamin Joseph Worrell

Primary specialty

TaxiTaxonomy code 344600000X

Practice address

101 E Alma St Ste 304
Mount Shasta, CA 96067-2290

Phone

(530) 859-3266

NPI assigned

Oct 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1912472176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E ALMA ST STE 304",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672290",
            "telephone_number": "530-921-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ALMA ST STE 304",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672290",
            "telephone_number": "530-859-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "A9507155",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Physical Therapy, Inc. (Mount Shasta Physical Therapy)
• Marianne Wilson
• Alyssa Winkelman
• Carol Winston, PT
• Susan Wolcott, LM, CPM, RN
• Stephanie Yarger, LMFT
• Erich Ziller
• Philip Zimmerman, CRNA

• Taxi in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Taxi in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.