Individual provider Active NPI

Julia Elizabeth Bennett, P. T.

  • Physical Therapist
  • Waco, TX
National Provider Identifier
1003975228
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1098168 Issued in TX
Practice address
611 W State Highway 6
Suite 101
Waco, TX 76710-7544
Phone
(254) 776-3070
Fax
(254) 776-7909
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1098168 TX Primary
Orthopedic Physical Therapist 2251X0800X 1098168 TX

Addresses

Primary practice location

611 W State Highway 6
Suite 101
Waco, TX 76710-7544

Mailing address

5387 Cooksey LN
Robinson, TX 76706-7109
Phone (254) 776-3070

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1003975228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5387 COOKSEY LN",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767067109",
            "telephone_number": "254-776-3070",
            "fax_number": "254-776-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W STATE HIGHWAY 6",
            "address_2": "SUITE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-776-3070",
            "fax_number": "254-776-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JULIA",
        "middle_name": "ELIZABETH",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1098168",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1098168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.