BENNETT CLINIC LLC (NPI# 1104167444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104167444 |
| Entity Type | Organization |
| Organization Name | BENNETT CLINIC LLC |
| Other Organization Name | BENNETT CLINIC |
| Practice Address |
7876 E Florentine Rd Prescott Valley AZ 86314-2216 |
| Practice Telephone | 9287727200 |
| Practice Fax Number | 9287727779 |
| Mailing Telephone | 9287727200 |
| Mailing Fax Number | 9287727779 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MRS. MARY EVELYN BENNETT (PARTNER) |
| Authorized Official Telephone | 9287727200 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 6078 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | Z90034 | 01 |
| 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 |
| 1083946586 | Bennett Clinic LLC | Chiropractor | 1202 Willow Creek Rd, Prescott, AZ 86301-1428 | 2010-02-08 |
| Street Address |
7876 E FLORENTINE RD |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2216 |
| 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 |
| 1417387655 | Arrowhead Family Health Center, PC | Durable Medical Equipment & Medical Supplies | 7876 E Florentine Rd, Prescott Valley, AZ 86314-2216 | 2013-11-26 |
| 1790047496 | Diana Lynn Curl | Physical Therapist | 7876 E Florentine Rd, Prescott Valley, AZ 86314-2216 | 2012-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831149913 | Canyon Physical Therapy and Aquatic Rehabilitation, P.l.l.c. | Clinic/Center | 2852 N Navajo Dr, Suite A, Prescott Valley, AZ 86314-4963 | 2006-05-11 |
| 1124187406 | Dht Hand Therapy Limited Partnership | Clinic/Center | 3033 N Windsong Dr, Suite 205, Prescott Valley, AZ 86314-2290 | 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 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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.