Anita Benson, PT
Individual provider Active NPI Physical Therapist · Houston, TX
NPI 1639285331 · NPPES record last updated May 14, 2014
Key facts
- NPI
- 1639285331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1053791 (TX)
- Practice address
- 17270 Red Oak Dr Ste 180
Houston, TX 77090-2632 - Phone
- (281) 440-7625
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053791 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1053791 | TX | Yes |
Addresses
Primary practice location
17270 Red Oak Dr Ste 180
Houston, TX 77090-2632
Mailing address
17270 Red Oak Dr Ste 180
Houston, TX 77090-2632
Phone (281) 440-7625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053791 | Other | TX | LICENSE # |
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.