Active NPI
Zachary Paul Benevides, MPT
- Physical Therapist
- Wayne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015304
- Practice address
- 2 Devon SQ
744 W. Lancaster Avenue
Wayne, PA 19087-2523 - Phone
- (610) 688-7776
- NPI assigned
- May 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015304 | PA | Primary |
Addresses
Primary practice location
2 Devon SQ
744 W. Lancaster Avenue
Wayne, PA 19087-2523
Mailing address
902 Cherry Wood CT
Phoenixville, PA 19460-4851
Phone (215) 767-7103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Furys Ferry Rd
Martinez, GA 30907-9057
Phone (706) 210-9380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015304 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgialina Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| Georgialina Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
Locations
1229 Friendship Rd
#200
Braselton, GA 30517
Phone (770) 415-9792
415 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 210-9380
Interoperability endpoints
- zachary.benevides.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 2
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.
-
dba Athletico Physical Therapy
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
dba Athletico Physical Therapy
- Physical Therapy Clinic/Center
- North Augusta, SC
- NPI 1427164714
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881652113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CHERRY WOOD CT",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604851",
"telephone_number": "215-767-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DEVON SQ",
"address_2": "744 W. LANCASTER AVENUE",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872523",
"telephone_number": "610-688-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEVIDES",
"first_name": "ZACHARY",
"middle_name": "PAUL",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
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.
- 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.