Active NPI
Stephanie Beneville, PT
- Physical Therapist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12088
- Practice address
- 6753 Wheeler Dr
Charlotte, NC 28211-4760 - Phone
- (704) 408-9341
- NPI assigned
- Aug 10, 2006
- Last updated
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P12088 | NC | Primary |
Addresses
Primary practice location
6753 Wheeler Dr
Charlotte, NC 28211-4760
Mailing address
4908 Doris Ave
Charlotte, NC 28205-7810
Phone (704) 408-9341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305204757 | Other | VA | STATE LICENSE |
| P12088 | Other | NC | NORTH CAROLINA BOARD OF PT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Connecticut School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2147 Davie Ave
Statesville, NC 28625-9200
Phone (704) 994-5065
3600 Park Rd
Charlotte, NC 28209-4102
Phone (980) 203-3585
800 E M L K Jr Blvd
Charlotte, NC 28202
Phone (404) 351-5307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12088 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Therapy Corp. | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Life Clinic of NC PC | Physical Therapist | Past | Accepting new patients |
| Phoenix Rehabilitation and Health Services of Virginia, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309
8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225
800 E Martin Luther King Blvd
Charlotte, NC 28202
11220 Golf Links Dr
Charlotte, NC 28277
Phone (704) 510-4988
2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
-
- Multi-Specialty Clinic/Center
- Charlotte, NC
- NPI 1285382440
Physical Therapist
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1396380911
Physical Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
dba LifeClinic of Franklin
- Chiropractor
- Raleigh, NC
- NPI 1437650843
Physical Therapist
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1336155845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1366453789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 DORIS AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057810",
"telephone_number": "704-408-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6753 WHEELER DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114760",
"telephone_number": "704-408-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEVILLE",
"first_name": "STEPHANIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2305204757",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF PT",
"identifier": "P12088",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.