Kyle Hutson Benoit

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605221 Issued in VA

Practice address

803 S Main St
Woodstock, VA 22664-1125

Phone

(540) 459-5676

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1073074142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9372 LOST FOREST DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373207",
            "telephone_number": "804-926-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641125",
            "telephone_number": "540-459-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "KYLE",
        "middle_name": "HUTSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rose Baker
• Vanessa Alia Emdadi Banks, DO
• Kevin J Barko, PA
• Julie Ann Bell, MS-CCC SLP
• Charles Archie Bennett Jr., BC-HIS
• Wayne Jefferson Berry II, MD
• Nicholas Vincent Bledsoe, DC
• Antionette Ella Booker Cecil Kamau, OTA/L
• Noeline Bowen
• Barbara Preston Brennan, ND, FNP

• Physical Therapy Assistant in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.