MEDICARE: VIRGINIA PEPITO BENEDICT PT

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	5501011313	MI

General Provider Information

NPI Number	:	1144721861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA PEPITO BENEDICT PT

Provider Business Mailing Address
First Line	:	39494 ROCKCREST LN
Second Line	:
City	:	NORTHVILLE
State	:	MI
Zip	:	48168-3960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6470 ALDEN DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-2006
Country	:	US
Telephone Number	:	248-363-4121
Fax Number	:

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

Provider Enumeration Date	:	02/27/2018
Last Update Date	:	06/06/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1881074961 — GREEN LAKE OPCO, LLC
Practice Location Address:

6470 ALDEN DR
WEST BLOOMFIELD, MI
48324-2006

Practice Phone: 248-363-4121
Practice Fax:

1386173045 — QUALITY TOUCH HOME CARE LLC
Practice Location Address:

460 BLOOMFIELD AVE
VERONA, NJ
07044-2006

Practice Phone: 862-295-7447
Practice Fax:

1487731881 — BORTZ GREENLAKE RESTHAVEN, INC
Practice Location Address:

6470 ALDEN DR
ORCHARD LAKE, MI
48324-2006

Practice Phone: 248-363-4121
Practice Fax: 248-363-5657

1699277434 — MS. MARY ELLEN BARDYGA OT
Practice Location Address:

6470 ALDEN DR
ORCHARD LAKE, MI
48324-2006

Practice Phone: 248-363-4121
Practice Fax:

1588661813 — DR. JESSE SAMUELS M.D.
Practice Location Address:

25 CASCADE RD
WEST HARTFORD, CT
06117-2006

Practice Phone: 860-636-9574
Practice Fax:

Directions to “ VIRGINIA PEPITO BENEDICT PT” 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 © 2007-2025 (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.