Individual provider Active NPI

Viviane Bennese, OTA

  • Occupational Therapist
  • Sarasota, FL
National Provider Identifier
1902215742
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25758 Issued in FL
Practice address
5831 Bee Ridge Rd
Sarasota, FL 34233-5088
Phone
(941) 378-5100
Fax
(941) 960-1962
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA1390 FL
Occupational Therapist 225X00000X 25758 FL Primary

Addresses

Primary practice location

5831 Bee Ridge Rd
Sarasota, FL 34233-5088

Mailing address

5831 Bee Ridge Rd
Sarasota, FL 34233-5088
Phone (941) 378-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116002691 FL Practitioner - Occupational Therapist in Private Practice 6709314842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTA1390FLMDOccupational Therapy Assistant
25758FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SDS Medical, LLC CurrentSince Dec 20, 2024 Accepting new patients

Locations

5831 Bee Ridge Rd
Ste 300
Sarasota, FL 34233
Phone (941) 378-5100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1902215742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335088",
            "telephone_number": "941-378-5100",
            "fax_number": "941-960-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335088",
            "telephone_number": "941-378-5100",
            "fax_number": "941-960-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNESE",
        "first_name": "VIVIANE",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA1390",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "25758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.