Individual provider Active NPI

Erica Benavides, OT21926

  • Occupational Therapist
  • Kissimmee, FL
National Provider Identifier
1780268441
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21926 Issued in FL
Practice address
100 Buenaventura Blvd Ste 102
Kissimmee, FL 34743-4513
Phone
(407) 588-7776
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 21926 FL Primary

Addresses

Primary practice location

100 Buenaventura Blvd Ste 102
Kissimmee, FL 34743-4513

Mailing address

2623 Winter Calm LN
Kissimmee, FL 34744-6503
Phone (407) 535-8793

Other identifiers 1

IdentifierTypeStateIssuer
132255800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002487 FL Practitioner - Occupational Therapist in Private Practice 8224414115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21926FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Speech and Language Therapy, Inc. CurrentSince Sep 9, 2022 Accepting new patients
Yelitza I. Ruiz Ahorrio Speech & Language Therapy, LLC. Occupational Therapist PastSince Nov 8, 2025 Accepting new patients

Locations

14055 Town Loop Blvd
Ste 300
Orlando, FL 32837
Phone (407) 857-6285

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.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1780268441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 WINTER CALM LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446503",
            "telephone_number": "407-535-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUENAVENTURA BLVD STE 102",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434513",
            "telephone_number": "407-588-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "ERICA",
        "credential": "OT21926",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132255800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.