Roberta Anne Benson, CMT, LMT, B.A.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Practice address

2233 Hamline Ave N Ste 433
Roseville, MN 55113-5006

Phone

(651) 600-6181

NPI assigned

Jan 15, 2014

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bodymind Alchemy LLC

  • Point of Service
  • Roseville, MN
  • NPI 1518515972
  NPD (past) Authorized official

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1861814519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 ULYSSES ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183048",
            "telephone_number": "612-203-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 433",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135006",
            "telephone_number": "651-600-6181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 3rd Ave N Ste 425",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554011446",
            "country_code": "US",
            "telephone_number": "612-203-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ROBERTA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CMT, LMT, B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lynn Benedict, PA-C
• Clayton Benish, RPH
• Jackson Mark Bennett
• Nicholas Andrew Bennett
• Wilson Bennett, DPT
• Michelle Bentz
• David Bryon Berg, MA, LMFT, LADC
• Mark W Berger, MD
• Elaine Grace Berghuis, BCBA, LBA
• Michael Bernstein, LAMFT

• Mechanotherapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Mechanotherapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.