Active NPI
Jaclyn Benninger
- Occupational Therapist
- Anchorage, AK
National Provider Identifier
1902361397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 133490
- Practice address
- 6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283 - Phone
- (907) 345-0050
- NPI assigned
- Feb 10, 2019
- Last updated
- Feb 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 133490 | AK | Primary |
Addresses
Primary practice location
6927 Old Seward Hwy Ste 100
Anchorage, AK 99518-2283
Mailing address
18266 Hampton CT
Livonia, MI 48152-2826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133490 | AK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Pediatric Therapy Clinic | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Anchorage, AK
- NPI 1437370855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549756800000",
"number": "1902361397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18266 HAMPTON CT",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6927 OLD SEWARD HWY STE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182283",
"telephone_number": "907-345-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNINGER",
"first_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-10",
"last_updated": "2019-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "133490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.