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

Benjamin Tyler Brandt

Individual provider Physical Therapist · NPI 1114397312

Benjamin Tyler Brandt is a Physical Therapist in Private Practice in Harrah, Oklahoma. Qualified in 2015, 11 years ago. Practices with Northland Physical Therapy and Rehab Services Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
11
Licensed in
MO, OK
In the registry since
2015
Specialties on file
2

Practice location Address checks out

19629 NE 23rd St
Harrah, OK 73045-9305
Phone: (405) 454-0010
Fax: (405) 454-0030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5233 (OK)
Physical Therapist Taxonomy 225100000X · Licence 2015 (MO)

Record details

NPI number1114397312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2015
Last updated in NPPESSeptember 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northland Physical Therapy And Rehab Services Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Harrah