Juliette Rosaly Benjamin

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A2935 Issued in MN

Practice address

3660 Independence Ave S Apt 42
St Louis Park, MN 55426-3758

Phone

(320) 455-2603

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1396316337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 INDEPENDENCE AVE S APT 42",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 INDEPENDENCE AVE S APT 42",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263758",
            "telephone_number": "320-455-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "JULIETTE",
        "middle_name": "ROSALY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "A2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Louise Bendt, P.T.
• Amy Bendtsen
• Emily Benesh
• Alexandra Milbradt Benjamin, RDN, LD
• Christopher Benjamin
• Marny Benjamin, MD
• Thomas T Bennett, PSYD, LP
• Gurpal S Benning, MD
• Joshua John Bennington, PA-C
• Nea Rae Bennington, PA-C

• Physical Medicine & Rehabilitation Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.