Laura Kathleen Benavides, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002903 Issued in MI

Practice address

141 Hampton Cir
Rochester Hills, MI 48307-4103

Phone

(248) 853-7555

Fax

(248) 853-7556

NPI assigned

Dec 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neil King Physical Therapy, PC

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1275756942
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1396927950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HAMPTON CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074103",
            "telephone_number": "248-853-7555",
            "fax_number": "248-853-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HAMPTON CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074103",
            "telephone_number": "248-853-7555",
            "fax_number": "248-853-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "LAURA",
        "middle_name": "KATHLEEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002903",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501002903",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501002903",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501002903",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501002903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P55360003",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Bekish, PT, DPT, OCS
• Sarah Bell, SOCIAL WORKER
• Ronald G Bellisario, MD
• Jennifer Lynne Belt, PSYD
• Dianna Lynn Belyea, MA, LPC
• Benchmark Physical Therapy Michigan
• Courteney Benck, PT, DPT
• Olivia Bennett, PA-C
• Claire L Benton, M.S., LMFT
• Dennis A Berger, MA, LLP, LMSW

• Physical Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.