MATTHEW BENNETT (NPI# 1639583271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639583271 |
| Entity Type | Individual |
| Full Name | MATTHEW BENNETT |
| Practice Address |
6818 Austin Center Blvd Ste 111 Austin TX 78731-3199 |
| Mailing Address |
6607 Brodie Ln Apt 1223 Austin TX 78745-4655 |
| Practice Telephone | 5124188870 |
| Mailing Telephone | 5125385352 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1242529 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS PT LICENSE | 124529 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144497306 | Matthew Bennett | Counselor | 701 E Santa Clara St Ste 28d, Ventura, CA 93001-5960 | 2008-05-15 |
| 1316149792 | Matthew Scott Bennett | Psychologist | 1701 Burnt Boat Dr Fl 2, Bismarck, ND 58503-0812 | 2007-06-05 |
| 1144205899 | Matthew P Bennett | Anesthesiology | 2804 Dr John Haynes Dr, Pell City, AL 35125-1438 | 2005-12-14 |
| 1497282529 | Matthew Lee Bennett | Physical Therapist | 3915 Golden Valley Rd, Minneapolis, MN 55422-4249 | 2017-05-19 |
| 1578096996 | Matthew Bennett | Chiropractor | 1178 Fremont Ct, Elkhart, IN 46516-9321 | 2017-04-04 |
| 1184173429 | Matthew E Bennett | Physician Assistant | 89 W Copeland Dr Fl 2, Orlando, FL 32806 | 2016-09-28 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043579600 | Matthew Evans Bennett | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2012-05-16 |
| 1083988836 | Matthew Bennett | Pharmacist | 2801 Bickford Ave, Snohomish, WA 98290-1734 | 2012-02-25 |
| Street Address |
6818 AUSTIN CENTER BLVD STE 111 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760592315 | Melissa (molly) Zurek | Physical Therapy Assistant | 6818 Austin Center Blvd Ste 111, Austin, TX 78731-3199 | 2006-08-30 |
| 1558567214 | Sara Wriborg | Physical Therapist | 6818 Austin Center Blvd Ste 111, Austin, TX 78731-3199 | 2007-06-21 |
| 1235332057 | Diana Lujan Rice | Physical Therapist | 6818 Austin Center Blvd Ste 111, Austin, TX 78731-3199 | 2007-06-08 |
| 1629188149 | Kelly Preddy | Physical Therapist | 6818 Austin Center Blvd Ste 111, Austin, TX 78731-3199 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591631 | Revolution Human Physical Therapy and Education LLC | Physical Therapist | 3310 W Braker Ln Ste 300-918, Austin, TX 78758-7853 | 2019-05-01 |
| 1407328024 | Whitney Nicole Rodgers | Physical Therapist | 12411 Hymeadow Drive Building 3, Suite 3b, Austin, TX 78750-1874 | 2018-12-20 |
| 1487135406 | Aakruti Raikar | Physical Therapist | 8501 Evelina Trl, Austin, TX 78737-8540 | 2018-08-27 |
| 1912410978 | Lindsay Marie Graham | Physical Therapist | 12212 Tawny Farms Rd, Austin, TX 78748-1337 | 2017-11-13 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1114472743 | Courtney Paige Rivadeneira | Physical Therapist | 7718 Wood Hollow Dr Ste 105, Austin, TX 78731-1601 | 2016-08-24 |
| 1497167035 | Jessica Warnecke | Physical Therapist | 906 Brentwood St, Austin, TX 78757-3033 | 2014-06-02 |
| 1093134454 | Adam Warren | Physical Therapist | 711 W 38th St Ste B3, Austin, TX 78705-1125 | 2014-04-14 |
| 1649603192 | Rudie Spigarelli | Physical Therapist | 8306 Los Ranchos Dr, Austin, TX 78749-3901 | 2013-08-19 |
| 1679818108 | Jade Elyse Metcalf | Physical Therapist | 9430 Research Blvd Ste 2-350, Austin, TX 78759-6586 | 2012-12-10 |
| Find all providers in AUSTIN | ||||
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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.