Provider Demographics
NPI:1578088555
Name:WEINSTEIN, BENJAMIN NOAH
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:NOAH
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 NATIONS DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2681
Mailing Address - Country:US
Mailing Address - Phone:973-270-7650
Mailing Address - Fax:
Practice Address - Street 1:1215 NATIONS DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-2681
Practice Address - Country:US
Practice Address - Phone:973-270-2760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACP008378T225100000X
TN11691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist