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NPI Code Detail

MEDICARE: BENJAMIN ALAN SMITH PT, DPT

MEDICARE: BENJAMIN ALAN SMITH PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT13414SC

General Provider Information

NPI Number : 1154253409
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ALAN SMITH PT, DPT
Provider Business Mailing Address
First Line : 2575 ELMS CENTER RD STE 202
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9875
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2575 ELMS CENTER RD STE 202
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9875
Country : US
Telephone Number : 843-985-6878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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