Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Jeffrey Gross, OTR/L

Individual provider Occupational Therapist · NPI 1407101207

Benjamin Jeffrey Gross, OTR/L is an Occupational Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2734
Phone: (602) 393-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4648 (AZ)

Record details

NPI number1407101207
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012

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