NPIMap

Individual provider Active NPI

Tonya Benzie, O.T.R./L., C.H.T.

  • Hand Occupational Therapist
  • Duluth, MN
National Provider Identifier
1205932258
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
101418 Issued in MN
Practice address
1420 London Rd
Suite 102
Duluth, MN 55805-2433
Phone
(218) 728-3774
Fax
(218) 728-3640
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 101418 MN Primary

Addresses

Primary practice location

1420 London Rd
Suite 102
Duluth, MN 55805-2433

Mailing address

1420 London Rd
Suite 102
Duluth, MN 55805-2433
Phone (218) 728-3774

Other identifiers 3

IdentifierTypeStateIssuer
260T6BEOtherMNBCBS MN INDIVIDUAL
6403495OtherFMMN MEDICA INDIVIDUAL
40852900MedicaidWI

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
101418MNMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arm & Hand Center, Inc. Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Northern Arm & Hand Center, Inc. Hand Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205932258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052433",
            "telephone_number": "218-728-3774",
            "fax_number": "218-728-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052433",
            "telephone_number": "218-728-3774",
            "fax_number": "218-728-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZIE",
        "first_name": "TONYA",
        "credential": "O.T.R./L., C.H.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "101418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN INDIVIDUAL",
            "identifier": "260T6BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN MEDICA INDIVIDUAL",
            "identifier": "6403495",
            "state": "FM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40852900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.