Benjamin Ehizele Ediale, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-034691 Issued in AZ

Practice address

12142 N Rancho Vistoso Blvd # B-150
Oro Valley, AZ 85755-1842

Phone

(520) 338-2728

Fax

(520) 219-0199

NPI assigned

Feb 24, 2026

Last updated

Mar 24, 2026By the provider in NPPES

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Palms Physical Therapy Oro Valley LLCGroup PAC ID 5496972168, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Palms Physical Therapy - Oro Valley, LLC

  • Physical Therapist
  • Oro Valley, AZ
  • NPI 1376954115
  Medicare reassignment Care Compare group NPD
• Desert Palms Physical Therapy PC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1083643787
  Medicare reassignment

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1972457109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12142 N RANCHO VISTOSO BLVD # B-150",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551842",
            "telephone_number": "520-338-2728",
            "fax_number": "520-219-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 N RANCHO VISTOSO BLVD # B-150",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551842",
            "telephone_number": "520-338-2728",
            "fax_number": "520-219-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 N LaCholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412306",
            "country_code": "US",
            "telephone_number": "520-531-0305",
            "fax_number": "520-219-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDIALE",
        "first_name": "BENJAMIN",
        "middle_name": "EHIZELE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.