Individual provider Active NPI

Susel Benitez Barzaga, BS, MSOT

  • Occupational Therapist
  • West Palm Beach, FL
National Provider Identifier
1578726329
Registry record updated Mar 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17421 Issued in FL
Practice address
2405 Mercer Ave
Suite 10
West Palm Beach, FL 33401-7441
Phone
(561) 371-3277
Fax
(561) 355-4222
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2016

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 OT17421 FL Primary

Addresses

Primary practice location

2405 Mercer Ave
Suite 10
West Palm Beach, FL 33401-7441

Mailing address

4922 McGill St
Boynton Beach, FL 33436-7710
Phone (305) 431-3903

Other identifiers 1

IdentifierTypeStateIssuer
016157400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
OT17421FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1578726329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 MCGILL ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367710",
            "telephone_number": "305-431-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 MERCER AVE",
            "address_2": "SUITE 10",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017441",
            "telephone_number": "561-371-3277",
            "fax_number": "561-355-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ BARZAGA",
        "first_name": "SUSEL",
        "credential": "BS, MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016157400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.