Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Tyler Brandt

Individual provider Physical Therapist · NPI 1114397312

Benjamin Tyler Brandt is a Physical Therapist in Private Practice in Harrah, Oklahoma. Qualified in 2015, 11 years ago. Practices with Northland Physical Therapy and Rehab Services Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
11
Licensed in
MO, OK
In the registry since
2015
Specialties on file
2

Practice location Address checks out

19629 NE 23rd St
Harrah, OK 73045-9305
Phone: (405) 454-0010
Fax: (405) 454-0030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5233 (OK)
Physical Therapist Taxonomy 225100000X · Licence 2015 (MO)

Record details

NPI number1114397312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 28, 2016
Mailing addressPo Box 746, Harrah, OK 73045-0746

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northland Physical Therapy And Rehab Services Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Harrah