MEDICARE: MR. MOSES P. BENNY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501006564	MI

General Provider Information

NPI Number	:	1144362682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOSES P. BENNY P.T.

Provider Business Mailing Address
First Line	:	30671 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2285
Country	:	US
Telephone Number	:	248-577-1340
Fax Number	:	248-577-1344

Provider Business Practice Location Address
First Line	:	30671 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2285
Country	:	US
Telephone Number	:	248-577-1340
Fax Number	:	248-577-1344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1235271776 — PLEASANT REHAB SERVICES, INC.
Practice Location Address:

30671 DEQUINDRE RD
MADISON HEIGHTS, MI
48071-2285

Practice Phone: 248-577-1340
Practice Fax: 248-577-1344

1053325944 — JACQUELINE SCHUYLER MPT
Practice Location Address:

210 MAIN ST
MADISON, NJ
07940-2285

Practice Phone: 973-377-6700
Practice Fax: 973-377-8008

1942441910 — MICHELLE SALVA PATELLIS R.D., C.N.S.D.
Practice Location Address:

210 MAIN ST
MADISON, NJ
07940-2285

Practice Phone: 973-377-6700
Practice Fax:

1699901595 — DR. FREDERICK WAYNE STARK DDS
Practice Location Address:

1710 E MADISON AVE STE 600
DERBY, KS
67037-2285

Practice Phone: 316-788-4000
Practice Fax:

1902402928 — AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC
Practice Location Address:

2285 GALLATIN PIKE N
MADISON, TN
37115-2018

Practice Phone: 615-280-8430
Practice Fax:

1811609100 — MR. YOUNG IL PARK FNP
Practice Location Address:

525 N MADISON AVE APT 103
LOS ANGELES, CA
90004-2285

Practice Phone: 213-308-0777
Practice Fax:

Directions to “ MR. MOSES P. BENNY P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.