Individual provider Active NPI

Doctor Benevolo Sedaka, LMT, CPC

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1306970884
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0022455 Issued in CO
Practice address
4124 Wolff St
Denver, CO 80212-2228
Phone
(802) 468-7253
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0022455 CO Primary
Health & Wellness Coach 171400000X

Addresses

Primary practice location

4124 Wolff St
Denver, CO 80212-2228

Mailing address

4124 Wolff St
Denver, CO 80212-2228
Phone (802) 468-7253

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT.0022455COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1306970884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 WOLFF ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122228",
            "telephone_number": "802-468-7253",
            "fax_number": "805-709-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 WOLFF ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122228",
            "telephone_number": "802-468-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAKA",
        "first_name": "DOCTOR",
        "middle_name": "BENEVOLO",
        "credential": "LMT, CPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0022455",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.