Individual provider Active NPI

John Dominick Benevento, PT

  • Orthopedic Physical Therapist
  • Margate, FL
National Provider Identifier
1932401759
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
2825 N State Road 7 Ste 204
Margate, FL 33063-5737
Phone
(954) 451-3002
NPI assigned
Nov 30, 2010
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary
Community Health Worker 172V00000X 25858 FL

Addresses

Primary practice location

2825 N State Road 7 Ste 204
Margate, FL 33063-5737

Mailing address

4800 NE 20TH Ter Ste 303
Ft Lauderdale, FL 33308-4510
Phone (954) 771-8177

Other practice location 1

2964 N State Road 7
Suite 205
Margate, FL 33063-5715
Phone (954) 580-8838

Other identifiers 1

IdentifierTypeStateIssuer
016620700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000260 FL Practitioner - Physical Therapist in Private Practice 7113107277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fix It Physical Therapy, LLCGroup PAC ID 2062836034, 4 clinicians

Practice addresses (Care Compare)

8262 Griffin Rd
Davie, FL 33328-3715
Phone (954) 368-4598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Nov 8, 2010 Accepting new patients
Meli Orthopedic Centers of Excellence,LLC. CurrentSince Feb 8, 2016 Accepting new patients
Youfirst South Florida Physical Therapy Inc CurrentSince May 1, 2012 Accepting new patients
Ortho Florida, LLC CurrentSince Nov 8, 2010 Accepting new patients
Fix It Physical Therapy, LLC Orthopedic CurrentSince Jul 1, 2020 Accepting new patients
Meli Orthopedic Centers of Excellence, LLC Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

8246 Griffin Rd
Davie, FL 33328

8262 Griffin Rd
Davie, FL 33328
Phone (954) 368-4598

4701 N Federal Hwy
Ste A39
Ft Lauderdale, FL 33308
Phone (954) 351-7770

4800 NE 20th Ter
Ste 303
Ft Lauderdale, FL 33308
Phone (954) 351-7770

2825 N State Road 7
Ste 203
Margate, FL 33063
Phone (954) 580-8838

2825 N State Road 7
Ste 204
Margate, FL 33063
Phone (954) 451-3002

2964 N State Road 7
Ste 205
Margate, FL 33063
Phone (954) 472-5969

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1932401759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-771-8177",
            "fax_number": "945-771-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7 STE 204",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-451-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 N State Road 7",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635715",
            "country_code": "US",
            "telephone_number": "954-580-8838",
            "fax_number": "954-580-8839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEVENTO",
        "first_name": "JOHN",
        "middle_name": "DOMINICK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "25858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016620700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.