MR. JEFFREY BENNETT (NPI# 1043581754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043581754 |
Entity Type | Individual |
Full Name | MR. JEFFREY BENNETT |
Credential | LAT, ATC |
Practice Address |
2826 Randolph Rd Charlotte NC 28211-1386 |
Mailing Address |
5068 Gates Dr Denver NC 28037-9636 |
Practice Telephone | 7043665521 |
Mailing Telephone | 7044831662 |
Enumeration Date | 2012-01-26 |
Last Update Date | 2012-01-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1305 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1724 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588094346 | Jeffrey Bennett | Counselor | 3210 E 44th Ave, Apartment K-106, Spokane, WA 99223-7709 | 2013-11-14 |
1124462924 | Jeffrey Paul Bennett | Dentist | 9115 45th Ave Ne, Seattle, WA 98115 | 2013-04-23 |
1003149444 | Jeffrey R Bennett Jr. | Physical Therapist | 506 E Southway Blvd, Kokomo, IN 46902 | 2009-09-17 |
1578563839 | Jeffrey E Bennett | Pediatrics | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2005-07-28 |
1811472418 | Jeffrey Scott Bennett | Counselor | 2029 Buchanan St, North Kansas City, MO 64116-3405 | 2018-09-28 |
1730575648 | Jeffrey Bennett | Physical Therapist | 533 S Middleton Rd, Ste 100, Middleton, ID 83644-6013 | 2015-04-08 |
1740675909 | Jeffrey S Bennett | Pediatrics | 700 Children's Drive, Nationwide Children's Hospital, Columbus, OH 43205 | 2015-04-03 |
1831481837 | Jeffrey A Bennett | Pharmacist | 8101 Fayetteville Rd, Raleigh, NC 27603-5635 | 2011-05-09 |
1477684371 | Jeffrey K Bennett | Counselor | 1060 Glensboro Rd, Lawrenceburg, KY 40342-9033 | 2007-03-09 |
1902941073 | Jeffrey E Bennett | Counselor | 4722 Taft Blvd Ste 2, Wichita Falls, TX 76308-4800 | 2007-02-20 |
Street Address |
2826 RANDOLPH RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-1386 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588660716 | Glenn Bradford Perry | Orthopaedic Surgery | 2826 Randolph Rd, Charlotte, NC 28211-1019 | 2005-06-22 |
1942858733 | Jonathan Oakes | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2019-08-27 |
1083127419 | Jodi Ann Arreguin | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2017-11-07 |
1659819126 | Lauren Scollin | Physical Therapist | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 | 2017-02-06 |
1538601695 | Chelsea Parker | Physical Therapist | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 | 2016-11-07 |
1437605169 | Select Physical Therapy | Clinic/Center | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211 | 2016-09-01 |
1861945156 | Justin R.n. Kocan | Physical Therapist | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 | 2016-08-03 |
1265771505 | Kristine Ann Pumpa | Physical Therapist | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2013-02-06 |
1306116421 | John Ryan Maynard | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2012-01-05 |
1598074718 | Elizabeth Anne Butler | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2010-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
1629695085 | Zawadi Brown | Specialist/Technologist | 1621 Waybridge Ln Apt 1b, Charlotte, NC 28210-5774 | 2020-07-01 |
1518591973 | Brianna Marsicano | Specialist/Technologist | 4607 Rock Stream Dr, Charlotte, NC 28269-7150 | 2020-02-25 |
1124658075 | Mark Anthony Wright | Specialist/Technologist | 2301 Torrington Ln, Charlotte, NC 28262-3175 | 2020-01-20 |
1386281228 | Danielle Torp | Specialist/Technologist | 8920 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-1059 | 2019-12-10 |
1568028470 | Cristian Black | Specialist/Technologist | 4845 Ashley Park Ln Apt 205, Charlotte, NC 28210-4126 | 2019-05-15 |
1841764545 | Jacqueline Marie Frithsen | Specialist/Technologist | 10220 Ardrey Kell Rd, Charlotte, NC 28277-4328 | 2019-01-15 |
1790259760 | Raul A Bermudez | Specialist/Technologist | 1410 Abbey Pl Apt 115, Charlotte, NC 28209-3039 | 2019-01-14 |
1750858429 | Lynnsey Morgan Price | Specialist/Technologist | 8464 Highland Glen Dr, Charlotte, NC 28269-6110 | 2018-10-30 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.