Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Stuckey, PT, DPT, COTA, CSCS

Individual provider Physical Therapist · NPI 1538728696

Benjamin Stuckey, PT, DPT, COTA, CSCS is a Physical Therapist in Private Practice in Chesapeake, Virginia. Qualified in 2022, 4 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group and accepts Medicare assignment. Licensed in North Carolina, Virginia and Wisconsin.

Years since qualifying
4
Licensed in
NC, VA, WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

680 Kingsborough Sq Ste B
Chesapeake, VA 23320-4988
Phone: (757) 547-0434
Fax: (757) 547-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP030726T (VA)
Physical Therapist Taxonomy 225100000X · Licence 16245-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence P21981 (NC)

Record details

NPI number1538728696
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , COTA , CSCS
Sole proprietorYes
NPI enumeratedJune 11, 2019
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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