Individual provider Active NPI

Sandra Mahusay Bensan, RPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1124352497
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026829 Issued in NY
Practice address
849 University Blvd
Apt.#205
Jupiter, FL 33458-3079
Phone
(646) 515-0986
NPI assigned
Sep 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24859 FL
Physical Therapist 225100000X 026829 NY Primary

Addresses

Primary practice location

849 University Blvd
Apt.#205
Jupiter, FL 33458-3079

Mailing address

849 University Blvd
Apt.#205
Jupiter, FL 33458-3079
Phone (646) 515-0986

Other names 1

  • Sandra Nall Mahusay Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24859FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1124352497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 UNIVERSITY BLVD",
            "address_2": "APT.#205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583079",
            "telephone_number": "646-515-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 UNIVERSITY BLVD",
            "address_2": "APT.#205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583079",
            "telephone_number": "646-515-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSAN",
        "first_name": "SANDRA",
        "middle_name": "MAHUSAY",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MAHUSAY",
            "middle_name": "NALL",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.