Individual provider Active NPI

Marcia Lynn Benda, PT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1447567847
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18510 Issued in MD
Practice address
110 West Rd
Suite 105
Towson, MD 21204-2316
Phone
(410) 321-4901
Fax
(410) 321-4903
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18510 MD Primary

Addresses

Primary practice location

110 West Rd
Suite 105
Towson, MD 21204-2316

Mailing address

110 West Rd
Suite 105
Towson, MD 21204-2316
Phone (410) 321-4901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000740 MD Practitioner - Physical Therapist in Private Practice 8123209079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Strength Physical Therapy, Inc.Group PAC ID 5496702136, 2 clinicians

Practice addresses (Care Compare)

110 W Rd
Suite 105
Towson, MD 21204-2363
Phone (410) 785-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18510MDMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strength Physical Therapy, Inc. Physical Therapist CurrentSince Oct 11, 2010 Accepting new patients
Maryland General Hospital, Inc. Past Accepting new patients

Locations

110 West Rd
Ste 105
Towson, MD 21204
Phone (410) 321-4901

Organizations & group practices 2

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1447567847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST RD",
            "address_2": "SUITE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042316",
            "telephone_number": "410-321-4901",
            "fax_number": "410-321-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST RD",
            "address_2": "SUITE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042316",
            "telephone_number": "410-321-4901",
            "fax_number": "410-321-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDA",
        "first_name": "MARCIA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.