Sara Benson, LMT
Individual provider Active NPI Specialist · Providence, RI
NPI 1902201999 · NPPES record last updated Nov 3, 2014
Key facts
- NPI
- 1902201999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MT01740 (RI)
- Practice address
- 295 Governor St
Providence, RI 02906-3241 - Phone
- (401) 223-3443
- NPI assigned
- Nov 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT01740 | RI | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT01740 | RI | Yes |
Addresses
Primary practice location
295 Governor St
Providence, RI 02906-3241
Mailing address
295 Governor St
Providence, RI 02906-3241
Phone (401) 223-3443
Other providers in Providence, RI
- Eric Benoit
- Yahenys Benoit
- Brianna Allyn Benson
- Cindy Leigh Benson
- Maddison Kendra Benson
- Elian Silverman Bentley
- Elizabeth Benz
- Madeline Benz
- Luz Benzant
- Scott E Benzuly
All providers in Providence, RI · Specialist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2014. 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.