MR. JEFFREY BENNETT


Address: 2826 Randolph Rd, Charlotte, NC 28211-1386
Phone: 7043665521

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).

Provider Overview

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

Taxonomy

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

Other Providers JEFFREY BENNETT

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

Office Location

Street Address 2826 RANDOLPH RD
City CHARLOTTE
State NC
Zip Code 28211-1386

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHARLOTTE
Zip Code 28211

Improve Information

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Dataset Information

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.

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