Active NPI
Aaron Bradford Benson, MOT, OTR/L
- Occupational Therapist
- Coralville, IA
National Provider Identifier
1780226738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 075023
- Practice address
- 2332 Liberty Dr
Coralville, IA 52241-2771 - Phone
- (319) 545-7390
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- 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 | 075023 | IA | Primary |
Addresses
Primary practice location
2332 Liberty Dr
Coralville, IA 52241-2771
Mailing address
6909 W Park Rd NE
Cedar Rapids, IA 52402-7239
Phone (563) 468-7772
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 |
|---|---|---|---|
| 075023 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1780226738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 W PARK RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524027239",
"telephone_number": "563-468-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 LIBERTY DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412771",
"telephone_number": "319-545-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "AARON",
"middle_name": "BRADFORD",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "075023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.