Benjamin Radin, PTA
Physical Therapy Assistant in Fremont, CA. Individual provider (NPI-1).
NPI number1669905121
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1669905121
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Radin
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2017
- Last updated
- Apr 11, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 4143 | AR | Yes |
Practice location
2400 Parkside DrFremont, CA 94536-5332
Phone 510-793-7222
Mailing address
3217 W Quapaw RdRogers, AR 72758-1301
Phone 540-239-7437
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Physical Therapy Assistant providers in Fremont · All 5,684 providers in Fremont
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