Anthony Bencomo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10450 Issued in FL

Practice address

5725 NW 186TH St
Miami Gardens, FL 33015-6019

Phone

(305) 625-9857

NPI assigned

Nov 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1013553742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 SW 106TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763440",
            "telephone_number": "305-632-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 NW 186TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330156019",
            "telephone_number": "305-625-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCOMO",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Bello
• Anthony Gabriel Beltran
• Stefanie Beltran
• Beltz Association Corp
• Jenny Angelica Benavides, APRN
• Bendecido Medical Group LLC
• Benevolence Medical Services
• Yaiset Benitez Martinez
• Madelaine Benitez Perez
• Benny Services Corp

• Occupational Therapist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.