Active NPI
Susel Benitez Barzaga, BS, MSOT
- Occupational Therapist
- West Palm Beach, FL
National Provider Identifier
1578726329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17421
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016157400 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT17421 | FL | MD | Occupational 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.