Individual provider Active NPI

Gloria M Benci, M.S.,P.T.

  • Physical Therapist
  • Lake Oswego, OR
National Provider Identifier
1932227865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3559 Issued in OR
Practice address
16955 Old River Dr
Lake Oswego, OR 97034-5118
Phone
(503) 675-9760
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3559 OR Primary

Addresses

Primary practice location

16955 Old River Dr
Lake Oswego, OR 97034-5118

Mailing address

16955 Old River Dr
Lake Oswego, OR 97034-5118
Phone (503) 675-9760

Other identifiers 1

IdentifierTypeStateIssuer
3559OtherORPT STATE LICENSURE

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Glasser Wulff Inc Physical Therapist PastSince Nov 1, 2005 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932227865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16955 OLD RIVER DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970345118",
            "telephone_number": "503-675-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16955 OLD RIVER DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970345118",
            "telephone_number": "503-675-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCI",
        "first_name": "GLORIA",
        "middle_name": "M",
        "credential": "M.S.,P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT STATE LICENSURE",
            "identifier": "3559",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • 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.