Active NPI
Benjamin J Broyles, OTR/L
- Occupational Therapist
- Heath, OH
National Provider Identifier
1134316797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04829
- Practice address
- 343 River Oaks Dr
Heath, OH 43056-8242 - Phone
- (740) 349-0720
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04829 | OH | Primary |
Addresses
Primary practice location
343 River Oaks Dr
Heath, OH 43056-8242
Mailing address
343 River Oaks Dr
Heath, OH 43056-8242
Phone (740) 349-0720
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04829 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1134316797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 RIVER OAKS DR",
"city": "HEATH",
"state": "OH",
"postal_code": "430568242",
"telephone_number": "740-349-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 RIVER OAKS DR",
"city": "HEATH",
"state": "OH",
"postal_code": "430568242",
"telephone_number": "740-349-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROYLES",
"first_name": "BENJAMIN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "04829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heath, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.