Kathleen Brannon Benjamin, OTR L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

4579 Issued in SC

Practice address

1483 Tobias Gadson Blvd Ste 205B
Charleston, SC 29407-4641

Phone

(843) 766-6494

Fax

(843) 766-6495

NPI assigned

Sep 4, 2015

Last updated

Jun 20, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McClellanville Physical Therapy, LLCGroup PAC ID 8628510559, 2 clinicians

Practice addresses (Care Compare)

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.

• McClellanville Physical Therapy, LLC

  dba Mary English PT

  • Physical Therapy Clinic/Center
  • McClellanville, SC
  • NPI 1982130944
  Medicare reassignment Care Compare group NPD
• Reinvent Health Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1215763206

  SC

  Medicare reassignment NPD
• Prava PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1841003753

  SC

  Medicare reassignment

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1306214556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD",
            "address_2": "STE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "803-221-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD STE 205B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074641",
            "telephone_number": "843-766-6494",
            "fax_number": "843-766-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "KATHLEEN",
        "middle_name": "BRANNON",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "4579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH2983",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benchmark Healthcare Services LLC
• Liam Denne Bendig, MD
• Ellika Anne Bengtson, PHARMD
• Joseph John Benich III, MD
• Andreana Benitez, PHD
• Scott Evan Benjamin, M.D.
• Merve Benli
• Carolyn Annette Bennett, REGISTERED NURSE
• Cierra Christine Bennett, CRNA
• Heidi L Bennett, R.N.

• Hand Occupational Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Hand Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.