Individual provider Active NPI

Lois A Bencardino, OT

  • Hand Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1053529461
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC009216 Issued in PA
Practice address
834 Chestnut St
Suite G114
Philadelphia, PA 19107-5127
Phone
(610) 768-5940
Fax
(610) 768-5947
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009216 PA
Occupational Therapist 225X00000X 45TR00351400 NJ
Hand Occupational Therapist 225XH1200X 46TR00351400 NJ
Hand Occupational Therapist 225XH1200X OC009216 PA Primary

Addresses

Primary practice location

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5127

Mailing address

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5127
Phone (610) 768-5940

Other identifiers 1

IdentifierTypeStateIssuer
2829089000OtherPWIBC - KEYSTONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000259 PA Practitioner - Occupational Therapist in Private Practice 9739148024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

950 Pulaski Dr
Suite 100
King of Prussia, PA 19406-2802
Phone (610) 768-5940

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45TR00351400NJMDOccupational Therapist
OC009216PAMDOccupational Therapist
46TR00351400NJMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD Occupational Therapist CurrentSince Apr 1, 2023 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Apr 1, 2023 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients
Procare Rehabilitation Associates, LLC Occupational Therapist PastSince Jan 31, 2011 Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

950 Pulaski Dr
#100
Kng of Prussa, PA 19406
Phone (610) 768-4466

1203 Langhorne Newtown Rd
Ste 335
Langhorne, PA 19047
Phone (215) 741-2707

834 Chestnut St
Ste G114
Philadelphia, PA 19107
Phone (215) 521-3000

Organizations & group practices 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1053529461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST",
            "address_2": "SUITE G114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075127",
            "telephone_number": "610-768-5940",
            "fax_number": "610-768-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST",
            "address_2": "SUITE G114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075127",
            "telephone_number": "610-768-5940",
            "fax_number": "610-768-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCARDINO",
        "first_name": "LOIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009216",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "45TR00351400",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00351400",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC009216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - KEYSTONE",
            "identifier": "2829089000",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.