Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BENJAMIN T MOODY, MPT, ATC

Active Sole Proprietor

MR. BENJAMIN T MOODY, MPT, ATC is a Physical Therapy Assistant healthcare provider located in SAN FRANCISCO, California. NPI 1073819348 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN FRANCISCO, CA

Registration Details

NPI Number: 1073819348
Provider Type: Individual
Gender: Male
NPI Issued: Feb 4, 2011 (15.539650129884 yrs)
Last Updated: Feb 4, 2011
Licenses: 24091 (CA)

029802426 (CA)
Sole Proprietor: Yes

Practice Information

Address: 1230 17TH AVE

#3

SAN FRANCISCO, CA, 941221918
Browse CA providers · Browse ZIP 94122
Phone: 4156277900
Primary Specialty: Physical Therapy Assistant
225100000X
Additional Specialty: Athletic Trainer

Other Physical Therapy Assistant Providers in SAN FRANCISCO, CA

Name	Credential	NPI
MR. DANIEL PREOCANIN	P.T.	1730173451
MICHAEL MANGIBUYAT	PT	1245213602
MS. MEGAN LEWIS	PHYSICAL THERAPIST	1851365787
MR. KURT EDWARD VANDER SCHALIE	PT ATC	1093784134
JANE ALISON GALVAN	PT	1619946381
LINDA JO WANEK	PT PHD	1528037298

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.