Lot Di Benedetto, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36565 Issued in CA

Practice address

1607 7TH St
Ste C
Las Vegas, NM 87701-4952

Phone

(505) 454-1213

NPI assigned

Jun 20, 2011

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

NM BNPT Investment LLCGroup PAC ID 9436567468, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• NM BNPT Investment LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NM
  • NPI 1376132738

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Desert Grace Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Santa Rosa, NM
  • NPI 1043006893

  Physical Therapist

  NPD (past)
• Physical Therapy Care, LLC

  • Physical Therapist
  • Clovis, NM
  • NPI 1255848057
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1689960502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 7TH ST",
            "address_2": "STE C",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014952",
            "telephone_number": "469-693-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 7TH ST",
            "address_2": "STE C",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014952",
            "telephone_number": "505-454-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1972 Historic Route 66",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "NM",
            "postal_code": "884352767",
            "country_code": "US",
            "telephone_number": "575-472-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI BENEDETTO",
        "first_name": "LOT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1220967",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46956204",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Deisler
• Shannon Delarosbil, BMS
• Caley Nicole Denevers, FNP-BC
• Eric Depopas, M.D.
• Damien Derego, LMHC
• Diamond Care Vida Encantada, LLC (Vidan Encantada Nursing and Rehab Center)
• Dianachavez, LLC
• Rosanne M Dimas
• Wendy Dimmette, M.D.
• Direct Healthcare

• Physical Therapist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.

Verify at the official NPI Registry.