Ty James Bennett, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217601 Issued in VA

Practice address

1117 Berryville Ave
Winchester, VA 22601-5919

Phone

(833) 493-4325

Fax

(833) 918-2233

NPI assigned

Feb 13, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  VA

  Medicare reassignment Care Compare group NPD
• Privia Medical Group, LLC

  • Podiatrist
  • Falls Church, VA
  • NPI 1205787322
  Care Compare group
• Privia Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Leesburg, VA
  • NPI 1558212449
  Care Compare group
• Privia Medical Group, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1700737699
  Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1316898299
  Care Compare group
• Privia Medical Group, LLC

  • Nephrology Physician
  • Rockville, MD
  • NPI 1851246722
  Care Compare group
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD (past)

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1013869775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012892",
            "telephone_number": "540-722-8172",
            "fax_number": "540-723-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 BERRYVILLE AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015919",
            "telephone_number": "833-493-4325",
            "fax_number": "833-918-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J. Bender, M.D.
• Ryan Benito
• Benjamin L. Tolley, D.D.S., P.C.
• Douglas W Benkelman, MD
• Brandy Nickole Bennett, LBA
• Savannah Benson, DPT
• Camden Oakes Bentley
• Shannon Melissa Benton
• Jacqueline Marie Bentz
• Deborah Berg, RD

• All providers in Winchester, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.