Active NPI
Heather Jean Beninato, LMT
- Massage Therapist
- Phoenix, AZ
National Provider Identifier
1861124349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-13327
- Practice address
- 4425 E Agave Rd Ste 150
Phoenix, AZ 85044-0623 - Phone
- (602) 400-5967
- Fax
- (480) 269-9405
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-13327 | AZ | Primary |
Addresses
Primary practice location
4425 E Agave Rd Ste 150
Phoenix, AZ 85044-0623
Mailing address
4425 E Agave Rd Ste 150
Phoenix, AZ 85044-0623
Phone (602) 400-5967
Other names 1
- Heather Jean Malahy
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT-13327 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmotion Health & Wellness, LLC | Single Specialty | Current | Accepting new patients |
Locations
4425 E Agave Rd
Ste 150
Phoenix, AZ 85044
Phone (480) 719-3749
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1861124349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 E AGAVE RD STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850440623",
"telephone_number": "602-400-5967",
"fax_number": "480-269-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 E AGAVE RD STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850440623",
"telephone_number": "602-400-5967",
"fax_number": "480-269-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENINATO",
"first_name": "HEATHER",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-13327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "MALAHY",
"middle_name": "JEAN",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.