Dennise Benavides, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115095 Issued in TX

Practice address

502 E Ramsey Rd
San Antonio, TX 78216-4639

Phone

(210) 490-3900

NPI assigned

Apr 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DB Goodlife LLC

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1386443117

  Pediatrics

  NPD Authorized official
• TLC Kid'S Therapy

  • Occupational Therapist
  • San Antonio, TX
  • NPI 1114164431
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1629412739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E RAMSEY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164639",
            "telephone_number": "210-490-3900",
            "fax_number": "210-490-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E RAMSEY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164639",
            "telephone_number": "210-490-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3553 Leafwood Cir",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945316716",
            "country_code": "US",
            "telephone_number": "925-513-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "DENNISE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "13209",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Amelia Benavides
• Ariel Cristin Benavides, M.S., CCC-SLP
• Brenda Benavides
• Cathy Waldon Benavides, NP
• Daniel Garza Benavides, LPC
• Edgardo Benavides, D.O.
• Heidi Lynn Benavides, APRN-FNP-
• Idalia Ivanna Benavides, M.D.
• Jacqueline Elizabeth Benavides
• Janey Benavides, RN

• Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.