Daryl Guerrero Benge, OTR/L
Individual provider Active NPI Occupational Therapist · Valdese, NC
NPI 1598009482 · NPPES record last updated Nov 16, 2012
Key facts
- NPI
- 1598009482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 8080 (NC)
- Practice address
- 111 Forest Ave NE
Valdese, NC 28690-9733 - Phone
- (919) 306-7175
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Paragon Outpatient Rehabilitation Services LLC
Practice addresses (Care Compare)
3150 Burke Mill Rd
RM 200
Winston Salem, NC 27103-6431
Phone (336) 397-4200
330 Juniper St
Morganton, NC 28655-4678
Phone (828) 394-4045
4025 N Sharon Amity Rd
C/O Parc at Sharon Amity
Charlotte, NC 28205-4975
Phone (704) 869-2721
427 3Rd Ave SE RM
406 C/O Hickory Village
Hickory, NC 28602-3850
Phone (828) 358-3557
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230118002060 | NC | Practitioner - Occupational Therapist in Private Practice | 1557732161 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8080 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current |
Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current |
Accepting new patients |
Locations
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8080 | NC | Yes |
Addresses
Primary practice location
111 Forest Ave NE
Valdese, NC 28690-9733
Mailing address
111 Forest Ave NE
Valdese, NC 28690-9733
Phone (919) 306-7175
Other providers in Valdese, NC
- Kathryn Angley
- Barbara Branch Artherton
- Raymond A Azbell II
- Kyle William Barnes
- Linda Jo Basden
- Cathy Waldrop Blevins
- Blue Ridge Emergency Medical Associates LLC
- Blue Ridge Healthcare Hospitals Inc
- Blue Ridge Healthcare Hospitals, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
All providers in Valdese, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2012. 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.