Cornelia Von Lersner Benson, OTR/L;CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010854 Issued in MI

Practice address

11301 Commerce Dr Ste B
Allendale, MI 49401-8200

Phone

(616) 895-4770

Fax

(616) 895-4774

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1194788901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 COMMERCE DR STE B",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018200",
            "telephone_number": "616-895-4770",
            "fax_number": "616-895-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 COMMERCE DR STE B",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018200",
            "telephone_number": "616-895-4770",
            "fax_number": "616-895-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CORNELIA",
        "middle_name": "VON LERSNER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L;CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-12-30",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cbenson@novacare.com",
            "affiliation": "N",
            "endpointDescription": "work emails",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication",
            "address_1": "11301 Commerce Dr Ste B",
            "city": "Allendale",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494018200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Allendale, MI
• Providers in Allendale, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.