Active NPI
Joseph Chase Bennett
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1003437252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5037
- Practice address
- 700 South 19TH Street
8305A - Office
Birmingham, AL 35233 - Phone
- (205) 933-8101
- NPI assigned
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5037 | AL | Primary |
Addresses
Primary practice location
700 South 19TH Street
8305A - Office
Birmingham, AL 35233
Mailing address
910 Griffin Park Cir
Birmingham, AL 35242-7099
Phone (256) 453-3328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5037 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1003437252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 GRIFFIN PARK CIR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352427099",
"telephone_number": "256-453-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SOUTH 19TH STREET",
"address_2": "8305A - OFFICE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-933-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JOSEPH",
"middle_name": "CHASE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.