NPI 1639923741 · live from the CMS NPI Registry
Benjamin Miles Agadoni
Physical Therapist in Scottsdale, AZ. National Provider Identifier 1639923741, active.
NPI record
| NPI | 1639923741 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 8679 E San Alberto, Scottsdale, AZ 85258 |
| Practice phone | 480-447-3262 |
| Mailing address | 16117 W Sand Hills Rd, Surprise, AZ 85387 |
| Enumerated | April 15, 2024 |
| Last updated | April 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 033554 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.