Provider Demographics
NPI:1770038028
Name:ERBE, BENJAMIN ALIKA (DPT)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:ALIKA
Last Name:ERBE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 N ELM CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2372
Mailing Address - Country:US
Mailing Address - Phone:913-553-7838
Mailing Address - Fax:
Practice Address - Street 1:4100 E BROADWAY RD STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8809
Practice Address - Country:US
Practice Address - Phone:602-437-0234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12459PT2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic