Jaclyn Bender, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5317-26 Issued in WI

Practice address

600 Highland Ave
Mail Stop 2424
Madison, WI 53792-2424

Phone

(608) 263-8060

Fax

(608) 262-7679

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1740609817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "MAIL STOP 2424",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922424",
            "telephone_number": "608-263-8060",
            "fax_number": "608-262-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "MAIL STOP 2424",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922424",
            "telephone_number": "608-263-8060",
            "fax_number": "608-262-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JACLYN",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5317-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bend Health Social Work Services, P.C.
• Heather L Bendall, MD
• Allison Bender, MSW, LCSW
• Cassidy Lynn Bender, RN
• Cynthia M Bender, MD
• Jenna Bender
• Franklin P Bendewald, M.D.
• Sarah Jean Benedict, NP
• Charlene Benford, CADC III
• Michael Joseph Beninati, MD

• Occupational Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.