Samantha Bensavage

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012029 Issued in PA

Practice address

425 N River St
Wilkes Barre, PA 18702-2505

Phone

(157) 082-5862

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1962807594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W 23RD ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021647",
            "telephone_number": "570-459-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022505",
            "telephone_number": "157-082-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSAVAGE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Belletieri
• Noelle Marie Benderavich, OTR/L
• Carol A Benek, DPM
• James A. Benkinney, M.D.
• Dannielle Eve Bennett, LCSW
• Michelle Bernardi, CRNP
• Michael Bernett, MD
• Lauren L Bernoskie, LPC
• Miriam Iris Bernson, M.S.W.
• Barry Gerald Bernstein, DPM

• Speech-Language Pathologist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.