Jacqueline Benzin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10570 Bergtold Rd
Clarence, NY 14031-2105

Phone

(716) 759-6985

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1265102461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WESTFALL DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507136",
            "telephone_number": "716-472-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 BERGTOLD RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312105",
            "telephone_number": "716-759-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZIN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041606",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aventura Agency Inc.
• Tanya Baker
• Alison Ballow
• Kim M Banish, O.T.R.
• Mary Joy Bassanello, C.O.T.A.
• Barbara Anne Berchou, RN
• Amy Marie Berns, LMSW
• Lynne Ruth Birnholz, LCSW
• Jessica Marie Bond
• Aneliese Deveau Brandt

• All providers in Clarence, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.