Active NPI
Jeryl D. Benson, MS, OTR/L
- Occupational Therapist
- Pittsburgh, PA
National Provider Identifier
1679664841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002735L
- Practice address
- 406 Fisher Hall
711 Forbes Avenue
Pittsburgh, PA 15282-0001 - Phone
- (412) 396-4200
- Fax
- (412) 396-1388
- NPI assigned
- Sep 27, 2006
- 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 | OC002735L | PA | Primary |
Addresses
Primary practice location
406 Fisher Hall
711 Forbes Avenue
Pittsburgh, PA 15282-0001
Mailing address
403 Fisher Hall
600 Forbes Avenue
Pittsburgh, PA 15282-0001
Phone (412) 396-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698540 | Other | PA | HIGHMARK |
| 698542 | Other | PA | HIGHMARK |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC002735L | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duquesne University of the Holy Spirit | Occupational Therapist | Past | Accepting new patients |
| Duquesne University of the Holy Spirit | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Pittsburgh, PA
- NPI 1144226721
Occupational Therapist
-
- Student Health Clinic/Center
- Pittsburgh, PA
- NPI 1669911368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679664841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 FISHER HALL",
"address_2": "600 FORBES AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152820001",
"telephone_number": "412-396-4200",
"fax_number": "412-396-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 FISHER HALL",
"address_2": "711 FORBES AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152820001",
"telephone_number": "412-396-4200",
"fax_number": "412-396-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "JERYL",
"middle_name": "D.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC002735L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "698540",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "698542",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.