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

Mr. Benjamin Nabong, RPT

Individual provider Physical Therapist · NPI 1417039405

Mr. Benjamin Nabong, RPT is a Physical Therapist in Private Practice in Van Nuys, California. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

15211 Vanowen St Ste 105
Van Nuys, CA 91405-3606
Phone: (818) 997-7711
Fax: (818) 997-3744
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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 PT30066 (CA)

Record details

NPI number1417039405
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Van Nuys