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

Individual provider Physical Therapist · NPI 1508575952

Mr. Benjamin Talino So, BACHELORSDEGREE is a Physical Therapist in Private Practice in Jackson, Tennessee. Qualified in 1991, 35 years ago. Practices with Tn Therapy Outsource, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
35
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

14 Lost Treasure Cv
Jackson, TN 38305-6036
Phone: (731) 693-7819
Fax: (731) 424-1266
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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 4365 (TN)

Record details

NPI number1508575952
Entity typeIndividual (Type 1)
GenderMale
Credentials BACHELORSDEGREE
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateOctober 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Tn Therapy Outsource, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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