Andrea Louise Benson, DPT
Individual provider Active NPI Physical Therapist · Greendale, WI
NPI 1326537200 · NPPES record last updated May 6, 2018
Key facts
- NPI
- 1326537200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11226-24 (WI)
- Practice address
- 5700 Mockingbird LN
Greendale, WI 53129-1442 - Phone
- (414) 622-1702
- NPI assigned
- May 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11226-24 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11226-24 | WI | Yes |
Addresses
Primary practice location
5700 Mockingbird LN
Greendale, WI 53129-1442
Mailing address
219 Van Buren St
Elkhorn, WI 53121-1221
Phone (262) 210-7079
Other providers in Greendale, WI
- Kim Barna
- Angela Beaudoin
- Bedrock HCS at Greendale LLC
- Claire Beiermeister
- Samantha J Bely
- Philip William Bergold
- Neha Bhatt
- John David Bivins II
- Susan Ann Bloomer
- Amina R Bukhari
All providers in Greendale, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.