Darlene Benton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2004018548 Issued in MO

Practice address

509 Meadowlark Ave
Crane, MO 65633-9317

Phone

(417) 723-5281

Fax

(417) 723-5443

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By 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

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1225285398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22354 LAWRENCE 1230",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656057206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEADOWLARK AVE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339317",
            "telephone_number": "417-723-5281",
            "fax_number": "417-723-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "DARLENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2004018548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith C Adams, MS, LPC, NCC
• Stacey Rachelle Adams II, COTA
• Kelly Aubuschon, PHARM D
• Jane M. Balek, COTA/L
• Angela Dawn Boyd, PTA
• Tammy Jo Brazeal, PH.D.
• John Edgar Burnett Jr., M.P.T.
• Terry J Burpo, DMD
• Lori Conner, PTA

• Physical Therapy Assistant in Crane, MO
• Providers in Crane, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.