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

Mr. Benjamin J Nicholls, DPT

Individual provider Physical Therapist · NPI 1558876896

Mr. Benjamin J Nicholls, DPT is a Physical Therapist in Private Practice in Eden, Utah. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5460 E 2200 N Ste 3
Eden, UT 84310-9105
Phone: (801) 745-3200
Fax: (801) 745-6115
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8572509-2401 (UT)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1558876896
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 8, 2017
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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