Individual provider Active NPI

Michelle M Benoit, DPT

  • Physical Therapist
  • Denver, NC
National Provider Identifier
1679604128
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028493 Issued in NY
Practice address
269 Gillman Rd Ste 200
Denver, NC 28037-7919
Phone
(704) 316-3104
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 028493 NY Primary

Addresses

Primary practice location

269 Gillman Rd Ste 200
Denver, NC 28037-7919

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

358 Madison St
Waterville, NY 13480-1116
Phone (315) 841-3222

Other practice location 2

358 Madison St
Waterville, NY 13480-1116
Phone (315) 841-3222

Other names 1

  • Miss Michelle A Madden Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Natural Female LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679604128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GILLMAN RD STE 200",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377919",
            "telephone_number": "704-316-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 Madison St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "NY",
            "postal_code": "134801116",
            "country_code": "US",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 Madison St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "NY",
            "postal_code": "134801116",
            "country_code": "US",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MADDEN",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.