Karen Benoit, PTA
Individual provider Active NPI Physical Therapy Assistant · Shirley, MA
NPI 1023515541 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1023515541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3600 (MA)
- Practice address
- 3 Patterson Rd
Shirley, MA 01464-2907 - Phone
- (855) 757-9233
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3600 | MA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3600 | MA | Yes |
Addresses
Primary practice location
3 Patterson Rd
Shirley, MA 01464-2907
Mailing address
PO Box 367
Groton, MA 01450-0367
Phone (978) 577-7278
Other providers in Shirley, MA
- Maria Lourdes S Angeles
- Katherine Anne Arno
- Arthur F Eddy DMD PC
- John M Beland
- Victoria A Brennecke
- Peter Brouillard
- Rose-Ann Buchman
- Kathleen Marie Carvalho
- Clarity Counseling Services, LLC
All providers in Shirley, MA · Physical Therapy Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. 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.