Katerina Nicole Benedict, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

24757 Issued in FL

Practice address

4745 Sutton Park CT Ste 403
Jacksonville, FL 32224-0255

Phone

(904) 371-4649

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By 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)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Rehab Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1962734210

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1255105466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240255",
            "telephone_number": "904-371-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "KATERINA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dawn Bender, BT
• Gabriel Bendfeldt, MD
• Karin Anne Bendoraitis
• Jessica Bene, D.O
• Jason M. Beneciuk, P.T.
• Laura Benedict, PHARM.D.
• Melinda Ann Benedict, MS, RD, LD/N, CDCES
• Andrew David Benefield, M.D.
• Benevolent Heart LLC
• Antonette Yvonne Benford-Rhodes, LMHC

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.