Jennifer Benezet, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE013079 Issued in PA

Practice address

2832 Nightingale Rd
Philadelphia, PA 19154-1628

Phone

(267) 242-8196

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1003541731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 NIGHTINGALE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541628",
            "telephone_number": "267-242-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 NIGHTINGALE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541628",
            "telephone_number": "267-242-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEZET",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00374400",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE013079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hawa Bengeh
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• Marta Benham

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.