Benjie Russell Pease, MOT OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60078673 Issued in WA

Practice address

1830 Bickford Ave
Suite 209
Snohomish, WA 98290-1749

Phone

(360) 568-7774

Fax

(360) 568-7779

NPI assigned

Mar 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RPM Rehab IncGroup PAC ID 0244313187, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RPM Rehab, Inc

  • Massage Therapist
  • Yakima, WA
  • NPI 1316903123
  Medicare reassignment Care Compare group NPD
• Handworks Northwest PLLC

  • Hand Occupational Therapist
  • Richland, WA
  • NPI 1194817007
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1851532873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "address_2": "STE 135A-102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "760-256-2800",
            "fax_number": "760-256-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BICKFORD AVE",
            "address_2": "SUITE 209",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901749",
            "telephone_number": "360-568-7774",
            "fax_number": "360-568-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "BENJIE",
        "middle_name": "RUSSELL",
        "credential": "MOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60078673",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT60078673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0326407",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0326420",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0326397",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Patterson, LMHC
• Paul J. Lund DDS PLLC
• Joelle L Paul, LMHC
• Arianna Jean Paulino
• Laura A Paulsen, ARNP
• Jackson William Peckenpaugh, PT, DPT
• Tiffany Pedersen
• Amy A Peerson
• Nita Louise Perrine, LMP
• Stormie Person, RPH

• Occupational Therapist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.