Michele Benedict
Individual provider Active NPI Occupational Therapist · Boardman, OH
NPI 1467567719 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1467567719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT001669 (OH)
- Practice address
- 835 McKay CT Ste 100
Boardman, OH 44512-5786 - Phone
- (330) 965-3899
- Fax
- (330) 965-3839
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown Specialty Care LLC
Practice addresses (Care Compare)
5533 Mahoning Ave
FL 2
Austintown, OH 44515-2366
Phone (330) 480-3533
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080506000026 | OH | Practitioner - Occupational Therapist in Private Practice | 5890874697 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown, LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current |
Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
5533 Mahoning Ave
Fl 2
Youngstown, OH 44515
Phone (330) 480-3533
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
835 McKay Ct
Ste 100
Youngstown, OH 44512
Phone (330) 758-4399
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT001669 | OH | Yes |
Addresses
Primary practice location
835 McKay CT Ste 100
Boardman, OH 44512-5786
Mailing address
835 McKay CT Ste 100
Boardman, OH 44512-5786
Phone (330) 965-3899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01669 | Other | OH | LICENSE # |
Other names
- Michele Dicintio
Other providers in Boardman, OH
- Stephen Michael Begezda
- Scott Benedict Beichner
- Jessica Beil
- Linda Sue Beilstein
- Deanna Marie Bellville
- Julie Berg
- Marshall Hunter Berkeley
- Kathleen Berlin
- Carly Jeanne Berlon
- John Raymond Bernat
All providers in Boardman, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.