Individual provider Active NPI

Nathanial Benoit, OTR/L

  • Occupational Therapist
  • Hutchison, MN
National Provider Identifier
1326401175
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105116 Issued in MN
Practice address
20288 Hwy 15 N
Ste 100
Hutchison, MN 55350-5685
Phone
(320) 587-2326
Fax
(320) 234-6358
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105116 MN Primary

Addresses

Primary practice location

20288 Hwy 15 N
Ste 100
Hutchison, MN 55350-5685

Mailing address

20288 Hwy 15 N
Ste 100
Hutchison, MN 55350-5685
Phone (320) 587-2326

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1326401175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20288 HWY 15 N",
            "address_2": "STE 100",
            "city": "HUTCHISON",
            "state": "MN",
            "postal_code": "553505685",
            "telephone_number": "320-587-2326",
            "fax_number": "320-234-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20288 HWY 15 N",
            "address_2": "STE 100",
            "city": "HUTCHISON",
            "state": "MN",
            "postal_code": "553505685",
            "telephone_number": "320-587-2326",
            "fax_number": "320-234-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "NATHANIAL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchison, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.