Individual provider Active NPI

Michael Anthony Benedetto, PT

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1871577635
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4955 Issued in SC
Practice address
18 Professional Village Circle
Beaufort, SC 29907
Phone
(843) 986-9670
Fax
(843) 986-9369
NPI assigned
Dec 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 4955 SC Primary

Addresses

Primary practice location

18 Professional Village Circle
Beaufort, SC 29907

Mailing address

18 Professional Village Circle
Beaufort, SC 29907
Phone (843) 986-9670

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871577635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PROFESSIONAL VILLAGE CIRCLE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-986-9670",
            "fax_number": "843-986-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PROFESSIONAL VILLAGE CIRCLE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-986-9670",
            "fax_number": "843-986-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.