Active NPI
The Bennett Organization LLC
- Physical Therapist
- Eugene, OR
National Provider Identifier
1053801274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62608
- Legal business name
- THE BENNETT ORGANIZATION LLC
- Practice address
- 55 Howard Ave
Eugene, OR 97404-2826 - Phone
- (541) 359-7142
- NPI assigned
- May 14, 2018
- Organization subpart
- Yes
- Parent organization
- THE BENNETT ORGANIZATION LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Laurisa Bennett, PT, DPT
- Title
- Doctor of Physical Therapy
- Phone
- (541) 359-7142
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62608 | OR | Primary |
| Physical Therapist | 225100000X | PT294703 | CA |
Addresses
Primary practice location
55 Howard Ave
Eugene, OR 97404-2826
Mailing address
55 Howard Ave
Eugene, OR 97404-2826
Phone (541) 359-7142
Other names 1
- Accountable Physical Therapy
National Provider Directory
National Provider Directory- Part of
- The Bennett Organization LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526256000000",
"number": "1053801274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HOWARD AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042826",
"telephone_number": "541-359-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOWARD AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042826",
"telephone_number": "541-359-7142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BENNETT ORGANIZATION LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE BENNETT ORGANIZATION LLC",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "LAURISA",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "541-359-7142",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "62608",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT294703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Accountable Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.