Marwyn G Benemerito

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

955 Issued in TN

Legal business name

MARWYN G BENEMERITO

Practice address

146 Timber Creek Dr
Suite 101
Cordova, TN 38018-4234

Phone

(901) 309-5219

Fax

(901) 309-5265

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marwyn Garibay Benemerito, OTR/L

Title

Owner / Occupational Therapist

Phone

(901) 309-5219

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Therapy Hut Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Day Moeschle, RPT

  • Physical Therapist
  • Cordova, TN
  • NPI 1265639967
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1487764346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CROSS WOOD LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186604",
            "telephone_number": "901-309-5219",
            "fax_number": "901-309-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 TIMBER CREEK DR",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184234",
            "telephone_number": "901-309-5219",
            "fax_number": "901-309-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWYN G BENEMERITO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BENEMERITO",
        "authorized_official_first_name": "MARWYN",
        "authorized_official_middle_name": "GARIBAY",
        "authorized_official_title_or_position": "OWNER / OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "901-309-5219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5112",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "955",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "3892",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2379",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3275",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441022",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4128794",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Hut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula M Martin, FNP-C
• Ronald Martin, M.D.
• Vivica Martin
• Zhane Olivia Martin, BCBA, LBA
• Rosemary Martinez
• Michelle Marie Massey
• Christopher Irving Mathews Jr., LCSW
• Aracelia Mathis
• Rebecca Lynn Matthews, RBT
• Takira Matthews

• Occupational Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.