Provider Demographics
NPI:1003368820
Name:VOLKMAN, BENJAMIN (PT)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:VOLKMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 WINTERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7820
Mailing Address - Country:US
Mailing Address - Phone:215-766-8400
Mailing Address - Fax:214-614-7494
Practice Address - Street 1:6043 LINDSEY LN
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:TX
Practice Address - Zip Code:75002-6475
Practice Address - Country:US
Practice Address - Phone:214-766-8400
Practice Address - Fax:214-614-7494
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2025-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12486722251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports