Lucille L Bennett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AA715 Issued in AK

Practice address

701 Sesame St Ste 101
Anchorage, AK 99503-6647

Phone

(907) 561-2260

Fax

(907) 561-0448

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Core Potential LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1699347559

  AK, Physical Therapist

  Medicare reassignment NPD Authorized official
• Cable & McCormick Apc

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1649275389
  NPD (past)
• Rehabilitation Medicine Associates

  • Rehabilitation Practitioner
  • Anchorage, AK
  • NPI 1831194562
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1043323009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SESAME ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036647",
            "telephone_number": "907-561-2260",
            "fax_number": "907-561-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SESAME ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036647",
            "telephone_number": "907-561-2260",
            "fax_number": "907-561-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LUCILLE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "AA715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT45371",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ellen Bennett, LMT
• Chelsea Bennett, LMT
• Chris Anne Bennett, APRN
• Emily Bennett
• Jason Anthony Bennett, RN
• Maya Jordan Bennett
• Sierra Bennett
• Trethan Bennett
• Jaclyn Benninger
• Thomas Benroth, CCP

• All providers in Anchorage, AK
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.