Active NPI
Deborah Key Bennett, OTR/L
- Occupational Therapist
- Homewood, AL
National Provider Identifier
1134327323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 631
- Practice address
- 2204 Lakeshore Dr
Homewood, AL 35209-6729 - Phone
- (205) 868-0147
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 631 | AL | Primary |
Addresses
Primary practice location
2204 Lakeshore Dr
Homewood, AL 35209-6729
Mailing address
7299 Mill Creek Dr
Dora, AL 35062-2231
Phone (205) 648-3641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221003791 | AL | Practitioner - Physical Therapist in Private Practice | 1759725369 | |
| I20240326001671 | AL | Practitioner - Occupational Therapist in Private Practice | 1759725369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 631 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1134327323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7299 MILL CREEK DR",
"city": "DORA",
"state": "AL",
"postal_code": "350622231",
"telephone_number": "205-648-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 LAKESHORE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352096729",
"telephone_number": "205-868-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DEBORAH",
"middle_name": "KEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.