Jackie Lynne Benson, MOT, OTR/L, CLT
Individual provider Active NPI Occupational Therapist · Humboldt, NE
NPI 1003398090 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1003398090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2247 (NE)
- Practice address
- 1043 10TH St
Humboldt, NE 68376-6018 - Phone
- (402) 862-2000
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2247 | NE | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2247 | NE | Yes |
Addresses
Primary practice location
1043 10TH St
Humboldt, NE 68376-6018
Mailing address
61740 US Highway 136
Tecumseh, NE 68450-8401
Phone (402) 335-7964
Other practice location 1
1133 N 3rd St
Tecumseh, NE 68450-2069
Phone (402) 335-3357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2247 | Other | NE | DHHS |
Other names
- Jackie Lynne Straube
Other providers in Humboldt, NE
- Ashleigh Accardi
- Doris Barg
- Emma Blakesly-Cash
- Vicki Bursovsky
- City of Humboldt
- Colonial Acres of Humboldt
- Community Medical Center, Inc
All providers in Humboldt, NE · Occupational Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.