Healthcare Provider Details

I. General information

NPI: 1003368820
Provider Name (Legal Business Name): BENJAMIN VOLKMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6043 LINDSEY LN
PARKER TX
75002-6475
US

IV. Provider business mailing address

2505 WINTERSTONE DR
PLANO TX
75023-7820
US

V. Phone/Fax

Practice location:
  • Phone: 214-766-8400
  • Fax: 214-614-7494
Mailing address:
  • Phone: 215-766-8400
  • Fax: 214-614-7494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number1248672
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: