Michelle Benton

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

235 Rosedale Dr
Manchester, PA 17345-1022

Phone

(717) 812-7400

NPI assigned

Apr 14, 2020

Last updated

Apr 14, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1790304392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ROSEDALE DR",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451022",
            "telephone_number": "717-812-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "TEI001854",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shady K Basta
• Stacey Basta, FNP-C
• Zachary Beam, O.D.
• Elizabeth Anne Bedell, D.O.
• Michael G Benton, CRNP
• Megha Bhonde, PHARMACY TECHNICIAN
• Megan Bleacher McCardell, PA-C
• Ned C Blymire, OD
• Diane Z Bonner, RPH
• Corissa Borrell

• Physical Therapy Assistant in Manchester, PA
• Providers in Manchester, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.