Provider Demographics
NPI:1881555001
Name:RANKIN, BENJAMIN MARSALIS
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:MARSALIS
Last Name:RANKIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15727 CUTTEN RD APT 1212
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3954
Mailing Address - Country:US
Mailing Address - Phone:713-480-5034
Mailing Address - Fax:
Practice Address - Street 1:15727 CUTTEN RD APT 1212
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3954
Practice Address - Country:US
Practice Address - Phone:713-480-5034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2188112225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant