Active NPI
Lori Ann Benjamin, P.T.
- Physical Therapist
- Wexford, PA
National Provider Identifier
1730203852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013422L
- Practice address
- 5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260 - Phone
- (724) 940-3468
- NPI assigned
- Mar 16, 2007
- Last updated
- Aug 9, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013422L | PA | Primary |
Addresses
Primary practice location
5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260
Mailing address
615 Candlewyck Rd
Lancaster, PA 17601-2853
Phone (717) 560-1188
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013422L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1730203852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CANDLEWYCK RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012853",
"telephone_number": "717-560-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BROOKTREE RD",
"address_2": "SUITE 102",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909260",
"telephone_number": "724-940-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013422L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.