Active NPI
Nicole Benedict, MSOTR
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1619280864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4588
- Practice address
- 17950 N 68TH St Apt 3012
Phoenix, AZ 85054-4194 - Phone
- (701) 426-7959
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 4588 | AZ | Primary |
Addresses
Primary practice location
17950 N 68TH St Apt 3012
Phoenix, AZ 85054-4194
Mailing address
17950 N 68TH St Apt 3012
Phoenix, AZ 85054-4194
Phone (701) 426-7959
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Rehab | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1619280864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17950 N 68TH ST APT 3012",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544194",
"telephone_number": "701-426-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17950 N 68TH ST APT 3012",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544194",
"telephone_number": "701-426-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "NICOLE",
"credential": "MSOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.