Sumer D Bennett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2073730 Issued in TX

Practice address

1020 Tascosa Rd
Amarillo, TX 79124-1504

Phone

(806) 322-8387

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1053893743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W NOTTINGHAM DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091895",
            "telephone_number": "210-828-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TASCOSA RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241504",
            "telephone_number": "806-322-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SUMER",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2073730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K Bennett, LVN
• Gaye Ann Bennett, LPC
• John Mark Bennett, CRNA
• Kameron Beck Bennett, M.S.,SLP-CCC
• Richard Keith Bennett
• Tacy Lynn Bennett
• Madison Paige Benson, NP
• Yolanda Benson, COTA
• Andrew Bentle
• Marcia Bentle, COTA

• Physical Therapy Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.