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

Individual provider Orthopedic Physical Therapist · NPI 1982235792

Benjamin Wakefield, DPT, PT is a Physical Therapist in Private Practice in Flagstaff, Arizona. Qualified in 2019, 7 years ago. Practices with Physio Shop Flagstaff LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1510 S Riordan Ranch St
Flagstaff, AZ 86001-6372
Phone: (928) 214-7303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence LPT-31115 (AZ)

Record details

NPI number1982235792
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedJanuary 30, 2020
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021
Mailing address1510 S Riordan Ranch St, Flagstaff, AZ 86001-6372

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physio Shop Flagstaff Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flagstaff