Benjamin Gaines
NPI 1801263199 · Physical Therapist · Sebastian, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Gaines is a Physical Therapist provider in Sebastian, FL (NPI 1801263199).
Provider details
- NPI number
- 1801263199
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
8,737 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 2,561 | $20 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 2,352 | $26 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,679 | $19 |
| Therapy Procedure Using Functional Activities97530 | 1,589 | $32 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 223 | $24 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 220 | $98 |
Practice location
Mailing address
Additional practice locations (2)
- 300 Bahama DrIndialantic, FL 32903-3006Phone: (615) 406-3695
- 405 N Wickham Rd Ste 103Melbourne, FL 32935-8628Phone: (321) 327-8509Fax: (321) 327-2130
Registry dates
- Enumerated
- 2015-08-21
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Frequently asked questions
- What is Benjamin Gaines's NPI number?
- Benjamin Gaines's National Provider Identifier (NPI) is 1801263199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Gaines's specialty?
- Benjamin Gaines is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Benjamin Gaines located?
- Benjamin Gaines's practice location on file with NPPES is 801 Wellness Way Ste 100, Sebastian, FL 32958-3783.
- What is Benjamin Gaines's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Gaines is (772) 388-9510.
- Does Benjamin Gaines accept Medicare?
- Benjamin Gaines is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Gaines's NPI active?
- Yes — Benjamin Gaines's NPI (1801263199) is active in the NPPES registry as of the last update on 2025-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.