Benjamin Tyler Mahoney, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT60762253 Issued in WA

Practice address

1704 N State St
Bellingham, WA 98225-4605

Phone

(360) 207-4488

Fax

(360) 207-3310

NPI assigned

Aug 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower Physical Therapy PLLCGroup PAC ID 3971985599, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empower Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Bellingham, WA
  • NPI 1891446381
  Medicare reassignment Care Compare group NPD Authorized official
• Public Hospital Dist No 1 Skagit

  • General Practice Physician
  • Mount Vernon, WA
  • NPI 1023332749
  Medicare reassignment NPD
• Momenta Health PLLC

  • Physical Therapy Clinic/Center
  • Bellingham, WA
  • NPI 1346802451

  Orthopedic

  NPD
• Public Hospital Dist No 1 Skagit

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1811460652

  Orthopedic

  NPD
• Public Hospital District No 1 Skagit

  • Pediatrics Physician
  • Arlington, WA
  • NPI 1043241540
  NPD
• Adich Clinic, P.S.

  • Chiropractor
  • Bellingham, WA
  • NPI 1679634273
  NPD (past)
• Capstone Health Services Inc.

  • Physical Therapist
  • Ferndale, WA
  • NPI 1861462152
  NPD (past)
• Public Hospital Dist No 1 Skagit

  • Specialist
  • Mount Vernon, WA
  • NPI 1629012463
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1972028355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254605",
            "telephone_number": "360-207-4488",
            "fax_number": "360-207-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254605",
            "telephone_number": "360-207-4488",
            "fax_number": "360-207-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Labounty Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982489403",
            "country_code": "US",
            "telephone_number": "360-384-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "BENJAMIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60762253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Mahan
• Leena May Mahmaljy, LMHCA
• Mahnaz Lary MD Inc PS
• Mahnaz Lary MD Inc PS
• April S Mahoney, LICSWA
• Melinda Mahoney, RD
• Timothy Dennis Mahoney, PMHNP
• Lisa Kirke Mahy Hestad
• Maidenhair Hormone Clinic for Women, PLLC
• Meriah July Main, RN

• Orthopedic Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.