Individual provider Active NPI

Brianna Benton, OTR/L

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1174296446
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC017861 Issued in PA
Practice address
4033 Linglestown Rd Ste 2
Harrisburg, PA 17112-1153
Phone
(717) 920-5002
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 OC017861 PA Primary

Addresses

Primary practice location

4033 Linglestown Rd Ste 2
Harrisburg, PA 17112-1153

Mailing address

4033 Linglestown Rd Ste 2
Harrisburg, PA 17112-1153
Phone (717) 920-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000033 PA Practitioner - Occupational Therapist in Private Practice 4284025339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC017861PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC Occupational Therapist CurrentSince Sep 18, 2021 Accepting new patients

Locations

950 Walnut Bottom Rd
Ste 19
Carlisle, PA 17015
Phone (717) 245-0610

1 Trinity Dr E
Ste 110
Dillsburg, PA 17019
Phone (717) 231-8341

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

6108 Carlisle Pike
#27041
Mechanicsburg, PA 17050
Phone (717) 591-9118

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": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1174296446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 LINGLESTOWN RD STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121153",
            "telephone_number": "717-920-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 LINGLESTOWN RD STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121153",
            "telephone_number": "717-920-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "BRIANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.