Teal Benevides, M.S., OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC009708 Issued in PA

Practice address

902 Cherry Wood CT
Phoenixville, PA 19460-4851

Phone

(703) 209-4473

NPI assigned

May 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922219138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CHERRY WOOD CT",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604851",
            "telephone_number": "703-209-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CHERRY WOOD CT",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604851",
            "telephone_number": "703-209-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEVIDES",
        "first_name": "TEAL",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC009708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE NUMBER",
            "identifier": "1015242300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonas G Bekeris, MD
• Anna Belan, DDS
• Seth James Bellott
• Laura L. Belser
• Raya Ben Dor, DMD
• Jennifer Benjamin, MA
• Debra Marie Bensen-Kennedy, M.D.
• Cynthia Benzing
• Alison Helen Berger, MSW, LSW
• David A Berkson, MD

• Pediatric Occupational Therapist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Pediatric Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.