Individual provider Active NPI

Ashley Benson, OTD

  • Physical Rehabilitation Occupational Therapist
  • Normal, IL
National Provider Identifier
1437894292
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
056.014780 Issued in IL
Practice address
510 Broadway
Normal, IL 61761-3762
Phone
(309) 452-4406
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 056.014780 IL Primary

Addresses

Primary practice location

510 Broadway
Normal, IL 61761-3762

Mailing address

4745 S Jugtown Rd
Gardner, IL 60424-5908
Phone (815) 514-8877

Other practice location 1

700 N Main St
Eureka, IL 61530-1085
Phone (309) 467-2337

Other names 1

  • Ashley Saunders Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gardner Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711002209 IL Practitioner - Occupational Therapist in Private Practice 8820533078 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.014780ILMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC CurrentSince Nov 21, 2024 Accepting new patients
Empowerme Rehabilitation Illinois, LLC CurrentSince Nov 21, 2024 Accepting new patients
Savoy Therapy Services Inc CurrentSince Apr 6, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Nov 21, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Nov 21, 2024 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1437894292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 S JUGTOWN RD",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "604245908",
            "telephone_number": "815-514-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADWAY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613762",
            "telephone_number": "309-452-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Main St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "IL",
            "postal_code": "615301085",
            "country_code": "US",
            "telephone_number": "309-467-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ASHLEY",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056.014780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gardner",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 Broadway",
            "city": "Normal",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617613762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SAUNDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.