Provider Demographics
NPI:1992686877
Name:DR BEN PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:DR BEN PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROLATI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:786-622-8069
Mailing Address - Street 1:80 SW 8TH ST FL 20
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3003
Mailing Address - Country:US
Mailing Address - Phone:786-622-8069
Mailing Address - Fax:305-850-6502
Practice Address - Street 1:80 SW 8TH ST FL 20
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3003
Practice Address - Country:US
Practice Address - Phone:786-622-8069
Practice Address - Fax:305-850-6502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty