Active NPI 1104528199 Individual Practitioner Female Practitioner

Octavia Bentum

Specialist/Technologist - Speech-Language Assistant • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Octavia Bentum is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Dallas, TX. Practice services are available at 12225 GREENVILLE AVE # 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12225 Greenville Ave # 600

Dallas, TX 752439362

Telephone 8882651068

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Dallas, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 3.0 Yrs

Regional Practice Density

246 Specialists

Practicing in Dallas, TX (3463 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-17

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 43535

Definition to come...

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License CA 7772

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Wendy Walker

Registered Nurse

NPI 1154269983

Suzanne Okin

Speech-Language Pathologist

NPI 1376479766

Amy Kramer , RN

Registered Nurse

NPI 1568327757

Registered Nurse

Brian Finnerty , OTR, L

Occupational Therapist

NPI 1578390472

Occupational Therapist Registered, L

Audrey Honig

Occupational Therapist - Pediatrics

NPI 1629941703

Anne Doig

Occupational Therapist

NPI 1669196606

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 17, 2023

Registered at 12225 GREENVILLE AVE # 600, DALLAS, TX 752439362 (Tel: 8882651068)

📍

Updated Business Mailing Address October 17, 2023

Registered at 12225 GREENVILLE AVE # 600, DALLAS, TX 752439362

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2023

Specialist/Technologist (License #7772 in CA)

✅

NPI Profile Active March 21, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2023

Registered at 1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 910165239 (Tel: 8182416780)

📍

Updated Business Mailing Address March 21, 2023

Registered at 1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 910165239 (Tel: 9513802094)

👤

Provider Name / Credentials Updated March 21, 2023

Recorded as OCTAVIA BENTUM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Behavior Technician

🟢

Initial NPI Registration & Enumeration March 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1104528199

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 21, 2023

Last Update: October 17, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12225 Greenville Ave # 600

Dallas, TX 752439362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.