Individual provider Active NPI

Chelsea Marie Bonnie Benitz, OTR/L

  • Occupational Therapist
  • Hamilton, MT
National Provider Identifier
1013644970
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7774 Issued in MT
Practice address
336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone
(406) 375-0980
Fax
(406) 375-9938
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7774 MT Primary

Addresses

Primary practice location

336 Fairgrounds Rd
Hamilton, MT 59840-3126

Mailing address

1333 Toole Ave Unit C23
Missoula, MT 59802-2341
Phone (651) 245-1695

Other practice location 1

1333 Toole Ave Unit C23
Missoula, MT 59802-2341
Phone (651) 245-1695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829002945 MT Practitioner - Occupational Therapist in Private Practice 0749664506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physical Therapy PCGroup PAC ID 7113902321, 28 clinicians

Practice addresses (Care Compare)

336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone (406) 375-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7774MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy PC CurrentSince Aug 8, 2022 Accepting new patients
Corvallis Physical Therapy, PC PastSince Jun 16, 2011 Accepting new patients

Locations

267 Rodeo Dr
Florence, MT 59833
Phone (406) 273-9033

336 Fairgrounds Rd
Ste B
Hamilton, MT 59840
Phone (406) 285-8342

336 Fairgrounds Rd
Hamilton, MT 59840
Phone (406) 375-0980

472 Tammany Ln
Hamilton, MT 59840
Phone (406) 363-2816

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1013644970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 TOOLE AVE UNIT C23",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022341",
            "telephone_number": "651-245-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980",
            "fax_number": "406-375-9938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Toole Ave Unit C23",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598022341",
            "country_code": "US",
            "telephone_number": "651-245-1695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITZ",
        "first_name": "CHELSEA",
        "middle_name": "MARIE BONNIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "7774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.