Individual provider Active NPI

Michel Benyamen

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1376027607
Registry record updated Sep 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10522 Issued in FL
Practice address
2247 Palm Beach Lakes Blvd Ste 109
West Palm Beach, FL 33409-3408
Phone
(561) 310-2061
NPI assigned
Sep 22, 2018
Last updated
Sep 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10522 FL Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd Ste 109
West Palm Beach, FL 33409-3408

Mailing address

1834 Waldorf Dr
Royal Palm Beach, FL 33411-6116
Phone (561) 310-2061

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
PT10522FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1376027607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 WALDORF DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116116",
            "telephone_number": "561-310-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 109",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093408",
            "telephone_number": "561-310-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYAMEN",
        "first_name": "MICHEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-22",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2018; 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.