IndividualActive
Jason Benincasa, PT
NPI 1740509769 · Pediatric Physical Therapist · Baltimore, MD
Provider details
- NPI number
- 1740509769
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT 020542 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
707 N Broadway
Baltimore, MD 21205-1832
Phone: (443) 923-9289
Fax: (443) 923-9295
Approximate (ZIP-level) locationGet directions
Mailing address
707 N Broadway
Baltimore, MD 21205-1832
Registry dates
- Enumerated
- 2010-06-01
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.