Individual provider Active NPI

Kay Marie Behnke, OTRL

  • Occupational Therapist
  • Stuart, FL
National Provider Identifier
1952365348
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5828 Issued in FL
Practice address
5315 SE Lapis CT
Stuart, FL 34997-6510
Phone
(772) 220-4557
Fax
(772) 781-7091
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5828 FL Primary

Addresses

Primary practice location

5315 SE Lapis CT
Stuart, FL 34997-6510

Mailing address

5315 SE Lapis CT
Stuart, FL 34997-6510
Phone (772) 220-4557

Other identifiers 3

IdentifierTypeStateIssuer
2002125077OtherFLMARTIN CO LICENSE
OT5825OtherFLOT LICENSE
887611800MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
5828FLMDRegistered Dietitian
OT5828FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Wellness LLC Past Accepting new patients
Figueroa and Colina Rehabilitation Services, Inc. Past Accepting new patients
Dynamikids Inc Past Accepting new patients

Organizations & group practices 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1952365348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 SE LAPIS CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976510",
            "telephone_number": "772-220-4557",
            "fax_number": "772-781-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 SE LAPIS CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976510",
            "telephone_number": "772-220-4557",
            "fax_number": "772-781-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNKE",
        "first_name": "KAY",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTIN CO LICENSE",
            "identifier": "2002125077",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT5825",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887611800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.