Laura Ann Benavidez, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

115341 Issued in NU

Practice address

3520 Executive Center Drive
Suite 128
Austin, TX 78731

Phone

(512) 343-0222

NPI assigned

Aug 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Williams Speech Therapy Services Inc.

  dba Williams Therapy Services, Inc

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1740637834

  CA

  Medicare reassignment

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194242511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 EXECUTIVE CENTER DR STE 128",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311636",
            "telephone_number": "512-343-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 128",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-343-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": "115341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Jo Belyea, PAC
• Hillel Ben-Avi, MD
• Gina Michele Benavente, DHSC, MPH, OTR
• Briana Benavides
• Jessica Linnette Benavides, LPC
• Victor Benavidez, PHARMD
• Kyle Bender, LMFT
• Melissa E Bender, MD
• Michelle Dawn Bender, APRN FNP-C
• Preston Emerson Bender, OTD

• Pediatric Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.