MEDICARE: LOT DI BENEDETTO DPT

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	1220967	TX
2	225100000X	Physical Therapist	36565	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689960502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOT DI BENEDETTO DPT

Provider Business Mailing Address
First Line	:	1607 7TH ST
Second Line	:	STE C
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4952
Country	:	US
Telephone Number	:	469-693-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 7TH ST
Second Line	:	STE C
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-4952
Country	:	US
Telephone Number	:	505-454-1213
Fax Number	:

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

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	10/21/2019

Similar Medicare Providers

1174867915 — PHYSICAL THERAPY CENTER, LLC
Practice Location Address:

1607 7TH ST STE C
LAS VEGAS, NM
87701-4952

Practice Phone: 505-454-1213
Practice Fax:

1447789763 — DIANNE BRAGANZA
Practice Location Address:

1607 7TH ST STE C
LAS VEGAS, NM
87701-4952

Practice Phone: 505-454-1213
Practice Fax:

1518105188 — CARE CONNECTORS
Practice Location Address:

4952 DANUBE AVE
LAS VEGAS, NV
89141-3837

Practice Phone: 702-425-3243
Practice Fax:

1134531809 — CHIKE OLISAELOKA OKEKE CNA
Practice Location Address:

4952 NAFF RIDGE DR
LAS VEGAS, NV
89131-3680

Practice Phone: 702-589-0054
Practice Fax:

1124521042 — SLEEP SAFE SOLUTIONS INC
Practice Location Address:

4952 S RAINBOW BLVD STE 340
LAS VEGAS, NV
89118-1335

Practice Phone: 702-482-5348
Practice Fax:

1255827754 — MS. CHAKHAN RAMINA DEWS
Practice Location Address:

360 LINN LN
LAS VEGAS, NV
89110-4952

Practice Phone: 951-990-5979
Practice Fax:

Directions to “ LOT DI BENEDETTO DPT” 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.