Individual provider Active NPI

Alaina Benedict, OTR/L

  • Occupational Therapist
  • Ashtabula, OH
National Provider Identifier
1104575810
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011934 Issued in OH
Practice address
2630 W 13TH St
Ashtabula, OH 44004-2405
Phone
(440) 576-9023
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 OT011934 OH Primary

Addresses

Primary practice location

2630 W 13TH St
Ashtabula, OH 44004-2405

Mailing address

46 S Elm St
Jefferson, OH 44047-1319
Phone (330) 881-3877

Other practice location 1

2916 N Ridge Rd E
Ashtabula, OH 44004-4396
Phone (440) 993-1004

Other identifiers 1

IdentifierTypeStateIssuer
OT011934OtherOHSTATE BOARD LICENSE

Other names 1

  • Alaina Brothag Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT011934OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 1

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1104575810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 S ELM ST",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440471319",
            "telephone_number": "330-881-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W 13TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042405",
            "telephone_number": "440-576-9023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 N Ridge Rd E",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044396",
            "country_code": "US",
            "telephone_number": "440-993-1004",
            "fax_number": "440-574-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "ALAINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE",
            "identifier": "OT011934",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "2916 N Ridge Rd E",
            "city": "Ashtabula",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440044396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALAINA",
            "last_name": "BROTHAG",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.