Austin H. Bennett, DPT
Individual provider Active NPI Physical Therapist · Forest, VA
NPI 1003508045 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1003508045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305215767 (VA)
- Practice address
- 2011 Enterprise Dr
Forest, VA 24551-2653 - Phone
- (434) 851-0091
- NPI assigned
- May 25, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305215767 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Sport & Spine Institute LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305215767 | VA | Yes |
Addresses
Primary practice location
2011 Enterprise Dr
Forest, VA 24551-2653
Mailing address
2011 Enterprise Dr
Forest, VA 24551-2653
Phone (434) 851-0091
Other providers in Forest, VA
- Bedford Pharmacy Inc
- Bell and Troxel Chiropractic LLC
- Larry D Bell
- Ekaterina Mikhailovna Belous
- Benchmark Physical Therapy of VA, LLC
- Christopher Andrew Benton
- Christine E Billings
- Blue Current Psychiatry PLC
- Joshua Scott Bomar
- Recie Bomar
All providers in Forest, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.