Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801263199 Individual Practitioner Male Practitioner

Benjamin Gaines

Physical Therapist • Sebastian, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Gaines is a certified Physical Therapist practicing in Sebastian, FL. With approximately 11 years of clinical experience since completing medical education in 2015, Benjamin Gaines delivers high-quality medical care to the local community at 801 WELLNESS WAY STE 100.

Benjamin Gaines is affiliated with Vero Orthopaedics Ii Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Wellness Way Ste 100

Sebastian, FL 329583783

Telephone 7723889510
Associated Practice Facility / Clinic
🏢 Vero Orthopaedics Ii Pa Facility NPI 1134441660

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Sebastian, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -8.6 yrs vs City Avg
City Avg: 19.6 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Sebastian, FL (14601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gaines (11 Years) 11 Yrs
Sebastian Specialty Average (19.6 Years) 19.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
2,561 344 $62.75 $20.43
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
2,352 332 $71.05 $25.50
97140 Therapy procedure using manual technique, each 15 minutes
1,679 316 $58.51 $19.04
97530 Therapy procedure using functional activities
1,589 239 $79.18 $32.10
97535 Training for self-care or home management, each 15 minutes
223 195 $71.58 $24.38
97161 Evaluation of physical therapy, typically 20 minutes
220 206 $180.89 $98.20
97016 Application of blood vessel compression device
113 27 $25.00 $8.81

Medical Specialties & State Licenses

CMS Verified: 2025-02-06
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pt License
PT34493 (FL)

Hospital & Practice Group Affiliations

Vero Orthopaedics Ii Pa

801 Wellness Way, Sebastian, FL 329583783

Phone: 7723889510

Secondary Practice Locations

405 N Wickham Rd Ste 103

Melbourne, FL 329358628

Phone: 3213278509

300 Bahama Dr

Indialantic, FL 329033006

Phone: 6154063695

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Barry Garcia , DO

Family Medicine - Sports Medicine

NPI 1427104850

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 06, 2025

Registered at 801 WELLNESS WAY STE 100, SEBASTIAN, FL 329583783 (Tel: 7723889510)

📍
Updated Business Mailing Address February 06, 2025

Registered at 801 WELLNESS WAY STE 100, SEBASTIAN, FL 329583783 (Tel: 7723889510)

📍
Updated Practice Location December 28, 2022

Registered at 405 N WICKHAM RD STE 103, MELBOURNE, FL 329358628 (Tel: 3213278509)

📍
Updated Business Mailing Address December 28, 2022

Registered at 405 N WICKHAM RD STE 103, MELBOURNE, FL 329358628 (Tel: 3213278509)

NPI Profile Active August 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2015

Registered at 210 CREEKSIDE DR, DICKSON, TN 370552176 (Tel: 6154467623)

📍
Updated Business Mailing Address August 21, 2015

Registered at 800 CRESCENT CENTRE DR, SUITE 600, FRANKLIN, TN 370677269 (Tel: 6156560379)

👤
Provider Name / Credentials Updated August 21, 2015

Recorded as BENJAMIN GAINES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2015

Physical Therapist

🟢
Initial NPI Registration & Enumeration August 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801263199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2015
Last Update: February 06, 2025
Sole Proprietor: No

Mailing Address

801 Wellness Way Ste 100

Sebastian, FL 329583783

Phone: 7723889510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.