Peter Blackwell Bentz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1023109 Issued in TX

Practice address

1109 8TH Ave
Fort Worth, TX 76104-4102

Phone

(817) 338-4220

Fax

(817) 338-1639

NPI assigned

Aug 25, 2006

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 TX

Enrollment records 1

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.

• Bentz Physical Therapy, PC

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1316042955
  Medicare reassignment NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1053429753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044102",
            "telephone_number": "817-338-4220",
            "fax_number": "817-338-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044102",
            "telephone_number": "817-338-4220",
            "fax_number": "817-338-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "PETER",
        "middle_name": "BLACKWELL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1023109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Ford Benton, PA-C
• Joshua Benton, DPT
• Shirley A Benton, LPC LMFT LCDC
• Bentz Physical Therapy, PC
• Bret Bentz, PHD
• Sarah Jane Bentz, LPC-INTERN
• Karen Laitner Benz, D.O.
• Rebecca Beougher
• Kerri Berard
• Jennifer Berent, LPC

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.