Theresa M. Benz

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THERESA M. BENZ

Doing business as

Shapes & Lace

Practice address

1001 Baltimore Pike
Suite 205
Springfield, PA 19064-2852

Phone

(610) 604-0950

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa M. BenzNPI 1194929265

Title

Owner

Phone

(610) 604-0950

Specialties & licenses 1

Addresses

Other names 1

• Shapes & Lace Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa M Benz, MASTECTOMY FITTER

  • Specialist
  • Springfield, PA
  • NPI 1194929265
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1003093659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BALTIMORE PIKE",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642852",
            "telephone_number": "610-604-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BALTIMORE PIKE",
            "address_2": "SUITE 205",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642852",
            "telephone_number": "610-604-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M. BENZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "BENZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-604-0950"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shapes & Lace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Anthony Tillilie, D.M.D.
• Shaylyn Tinari, MS, RD, LDN

• Durable Medical Equipment & Medical Supplies in Springfield, PA
• Providers in Springfield, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.