Maria Marcella Gozzi Benson, PT, DPT
Individual provider Active NPI Physical Therapist · Wyoming, MN
NPI 1821814062 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1821814062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13730 (MN)
- Practice address
- 5130 Fairview Blvd Ste 102
Wyoming, MN 55092-8050 - Phone
- (651) 982-7825
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13730 | MN | Yes |
Addresses
Primary practice location
5130 Fairview Blvd Ste 102
Wyoming, MN 55092-8050
Mailing address
9183 Lent TRL
North Branch, MN 55056-4006
Phone (651) 249-4173
Other providers in Wyoming, MN
- Melissa Lynn Gleaves
- Elizabeth Glenna
- Erica Gloppen
- Brianna Marie Glynn
- Trevor Ryan Goldsmith
- Graceful Living, LLC
- Rebecca Lynne Gray
- Fallon Hagy
- Nicole Lynn Hahn
- Crystal Sue Hambley
All providers in Wyoming, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.