Benito Antonio Flores, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011795-1 Issued in NY

Practice address

778 Morris Park Ave
Bronx, NY 10462-3652

Phone

(800) 678-8605

NPI assigned

Apr 22, 2016

Reactivated

Apr 3, 2021

Last updated

Apr 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theracore OT, PC

  • Contractor
  • Bronx, NY
  • NPI 1720526668
  Authorized official Same address or phone

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1730533068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 MORRIS PARK AVE # 38",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623652",
            "telephone_number": "800-678-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623652",
            "telephone_number": "800-678-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "BENITO",
        "middle_name": "ANTONIO",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "deactivation_date": "2019-07-20",
        "reactivation_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NY",
            "license": "011795-1",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "011795-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011795-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011795-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altagracia Flores
• Ana Flores
• Angelica Kassandra Flores, LMHC
• Araceli Flores
• Arlene Janet Flores, NP
• Berta Flores, LPN
• Elizabeth Flores
• Erika Flores, MS.ED
• Estrella Flores, RN
• Felipe Flores, PA-C

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.