Melissa A Benavides, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1072478 Issued in TX

Practice address

1353 N Westmoreland Rd
BLDG F
Dallas, TX 75211-1655

Phone

(214) 333-7016

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1801950472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N WESTMORELAND RD",
            "address_2": "BLDG F",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111655",
            "telephone_number": "214-333-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N WESTMORELAND RD",
            "address_2": "BLDG F",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111655",
            "telephone_number": "214-333-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1072478",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1072478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063002201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Benandi, LMFT
• Kathleen Ann Benanti, L.M.T.
• Vera Ann Benard, B.S.
• Avery Elise Benavides
• Daylia Benavides, PA
• Michael A Benavides, DO
• Natalie Benavides
• Raul Benavides Jr., M.D.
• Richard Alex Benavides, M.D.
• Ricardo Benavidez, LPC

• Pediatric Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.