Polly Ellen Benson, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT-005125 Issued in GA

Practice address

170 Mill St
Gahanna, OH 43230-3036

Phone

(614) 414-5437

Fax

(614) 414-0280

NPI assigned

Dec 29, 2008

Last updated

Jul 15, 2016By 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

State licenses

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1871739631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 MASTERS CLUB DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243418",
            "telephone_number": "614-579-1142",
            "fax_number": "614-414-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MILL ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303036",
            "telephone_number": "614-414-5437",
            "fax_number": "614-414-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "POLLY",
        "middle_name": "ELLEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "GA",
            "license": "OT-005125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Beemiller, MD
• Amy Elizabeth Behan, AT, ATC
• Christina L Behrens
• Seth Delton Benge, APRNCNP
• Michelle Bennett, PA
• Jeri Ann Bentley, PTA
• Craig Steven Berg Jr., M.D.
• Bianca Bergamesca, OTR/L
• Jessica Marie Bergana, OD
• Sophie Berger, SW-T

• Physical Rehabilitation Occupational Therapist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Physical Rehabilitation Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.