Brooklynn Mikkel Benzine
Individual provider Active NPI Occupational Therapy Assistant · Spring Green, WI
NPI 1477449809 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1477449809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 7165-27 (WI)
- Practice address
- 501 S Winsted St
Spring Green, WI 53588-9435 - Phone
- (608) 588-2586
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7165-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7165-27 | WI | Yes |
Addresses
Primary practice location
501 S Winsted St
Spring Green, WI 53588-9435
Mailing address
S11892 County Road G
Spring Green, WI 53588-9638
Phone (608) 556-6479
Other providers in Spring Green, WI
- Atc Chiropractic, LLC
- Balanced Body Connections, LLC
- Kay M Balink
- Heidi A Bauer
- Brittiney Belche
- Therese Marie Bethel
- Joshua Bunno
- Adam Michael Childs
- Anthony Todd Christianson
- Cristine L Cornelius
All providers in Spring Green, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.