BENNETT CLINIC LLC (NPI# 1083946586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083946586 |
| Entity Type | Organization |
| Organization Name | BENNETT CLINIC LLC |
| Other Organization Name | BENNETT CLINIC |
| Practice Address |
1202 Willow Creek Rd Prescott AZ 86301-1428 |
| Practice Telephone | 9287719400 |
| Practice Fax Number | 9287719464 |
| Mailing Telephone | 9287719400 |
| Mailing Fax Number | 9287719464 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | DR. WAYNE ANTHONY BENNETT (DIRECTOR) |
| Authorized Official Telephone | 9287719400 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
5009 | AZ | Chiropractic Providers |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 6078 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bennett Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316236995 | Bennett Clinic LLC | Durable Medical Equipment & Medical Supplies | 7876 E Florentine Rd, Prescott Valley, AZ 86314-2216 | 2011-04-04 |
| 1821414350 | Bennett Clinic LLC | Physical Therapist | 1202 Willow Creek Rd, Prescott, AZ 86301-1428 | 2014-03-07 |
| 1104167444 | Bennett Clinic LLC | Clinic/Center | 7876 E Florentine Rd, Prescott Valley, AZ 86314-2216 | 2013-03-12 |
| Street Address |
1202 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184609786 | Michael Nash | Chiropractor | 1202 Willow Creek Rd, Prescott, AZ 86301-1400 | 2005-12-07 |
| 1821414350 | Bennett Clinic LLC | Physical Therapist | 1202 Willow Creek Rd, Prescott, AZ 86301-1428 | 2014-03-07 |
| 1104241132 | Jean M Bowman | Physical Therapist | 1202 Willow Creek Rd, Prescott, AZ 86301-1428 | 2014-02-27 |
| 1144403247 | Jason Marcus Doering | Chiropractor | 1202 Willow Creek Rd, Prescott, AZ 86301-1428 | 2007-12-11 |
| 1952386542 | Wayne A Bennett | Chiropractor | 1202 Willow Creek Rd, Prescott, AZ 86301-1400 | 2005-12-07 |
| 1508841107 | Wayne A Bennett | Chiropractor | 1202 Willow Creek Rd, Prescott, AZ 86301-1400 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1689036196 | Pool Therapy Plus, Pllc | Clinic/Center | 353 Cimarron Ct, Prescott, AZ 86301-1563 | 2016-03-23 |
| 1881850329 | Rocking Horses Pllc | Clinic/Center | 1250 W Kelly Dr, Prescott, AZ 86305-8628 | 2008-08-04 |
| 1316145709 | Active Life Physical Therapy Inc | Clinic/Center | 955 Black Drive, Prescott, AZ 86305 | 2007-07-06 |
| 1891047346 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3850 N Us Highway 89, Prescott, AZ 86301-8428 | 2012-10-09 |
| 1457671802 | Arches Ppt, LLC | Clinic/Center | 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 | 2010-06-08 |
| 1700110988 | Southwestern Medical Centers Inc - Az | Clinic/Center | 864 Dougherty St, Prescott, AZ 86305-1841 | 2009-09-22 |
| 1083877070 | Svassama | Clinic/Center | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2008-07-09 |
| 1427117704 | Dht Hand Therapy Limited Partnership | Clinic/Center | 2001 Excellence Way, Suite 100, Prescott, AZ 86301-8409 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1073129698 | Dynamic Performance and Recovery, LLC | Clinic/Center | 7800 E Pierce St, Scottsdale, AZ 85257-4606 | 2020-09-18 |
| 1073129821 | Epperson Physical Therapy Pllc | Clinic/Center | 5375 E Seven Palms Dr, Cave Creek, AZ 85331-2153 | 2020-09-17 |
| 1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
| 1770110801 | Mobile Physical Therapy Pllc | Clinic/Center | 112 N Elden St, Flagstaff, AZ 86001-5295 | 2020-03-26 |
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1922644681 | Apexnetwork Wellton LLC | Clinic/Center | 28873 Commerce Way, Wellton, AZ 85356-7058 | 2019-11-18 |
| 1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| 1750931267 | Life Clinic of Az PC | Clinic/Center | 2580 E Camelback Rd, Phoenix, AZ 85016-4204 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BENNETT CLINIC LLC.
| 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.