Shad W Bennett

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007975 Issued in AZ

Practice address

2195 W Chandler Blvd Ste 180
Chandler, AZ 85224

Phone

(809) 963-9339

Fax

(480) 963-4098

NPI assigned

Nov 12, 2019

Last updated

Nov 19, 2019By the provider in NPPES

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 UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hand and Orthopedic Rehabilitation Specialists PCGroup PAC ID 0547252207, 26 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand & Orthopedic Rehabilitation Specialists

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1790815173

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Hand & Orthopedic Rehabilitation Specialists

  dba Hand and Orthopedic Physical Therapy Specialists

  • Physical Therapist
  • West Jordan, UT
  • NPI 1811872245
  NPD
• Hand & Orthopedic Rehabilitation Specialists

  • Physical Therapist
  • Taylorsville, UT
  • NPI 1891495321
  NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1073158184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 W CHANDLER BLVD STE 180",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246580",
            "telephone_number": "809-963-9339",
            "fax_number": "480-963-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 W CHANDLER BLVD STE 180",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "809-963-9339",
            "fax_number": "480-963-4098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 E Foremaster Dr",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847904488",
            "country_code": "US",
            "telephone_number": "435-674-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 E Foremaster Dr",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847904488",
            "country_code": "US",
            "telephone_number": "435-674-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SHAD",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "007975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland D Benigno, PA-C
• Klaritssa Benitez
• Benjamin R Menlove DDS PC (chandler sedation and cosmetic dentistry)
• Lyndi Ann Benjamin, M.S. CCC-SLP
• Morgan Bennetch
• Matthew John Beno
• Jona Marie Benschoter Riddle, COTA/L
• Aviya Bensky
• Benson Family Dentistry
• Berit G Benson, LCSW-S, PMH-C

• Occupational Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.