BENJMAMIN THOMAS CARLSON PTA NPI 1013405497

NPI Information

NPI: 1013405497
Provider Name: BENJMAMIN THOMAS CARLSON, PTA
Classification: Pediatrics - 2080P0008X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

Address:
5314 N 7TH ST
PHOENIX, AZ
ZIP 85014
Phone: (602) 277-5006
Get Directions

Benjmamin Thomas Carlson, PTA is a neurodevelopmental disabilities pediatrics in Phoenix, AZ. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Benjmamin Thomas Carlson, PTA NPI is 1013405497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5314 N 7TH ST
PHOENIX, AZ
ZIP 85014-805
Phone: (602) 277-5006

The enumeration date for this NPI number is 5/1/2018 and was last updated on 5/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	13747	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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