Individual provider Active NPI

Yvette Benitez, OTL, MHA

  • Occupational Therapist
  • Deerfield Beach, FL
National Provider Identifier
1457945255
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3449 Issued in FL
Practice address
1208 S Military TRL
Deerfield Beach, FL 33442-8709
Phone
(585) 356-9269
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 3449 FL Primary

Addresses

Primary practice location

1208 S Military TRL
Deerfield Beach, FL 33442-8709

Mailing address

5220 NW 87TH Way
Coral Springs, FL 33067-2887
Phone (954) 242-7012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000092 FL Practitioner - Occupational Therapist in Private Practice 1254729924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3449FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy by Design LLC CurrentSince Sep 10, 2021 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515

10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220

Organizations & group practices 1

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1457945255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NW 87TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672887",
            "telephone_number": "954-242-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428709",
            "telephone_number": "585-356-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "OTL, MHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "3449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.