David Thomas Bennett
Individual provider Active NPI Rehabilitation Practitioner · Circleville, OH
NPI 1154818649 · NPPES record last updated Apr 19, 2018
Key facts
- NPI
- 1154818649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- License
- CDCA.165994 (OH)
- Practice address
- 110 Highland Ave
Circleville, OH 43113-1208 - Phone
- (740) 215-8024
- NPI assigned
- Apr 19, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.165994 | OH | MD | Rehabilitation Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CDCA.165994 | OH | Yes |
Addresses
Primary practice location
110 Highland Ave
Circleville, OH 43113-1208
Mailing address
110 Highland Ave
Circleville, OH 43113-1208
Phone (740) 477-1745
Other providers in Circleville, OH
- Donald Beatty
- Jodi L Beckley
- Trista Beebe
- Fara M Bellows
- Charles D Bennett
- Jonathan Richard Bennett
- Marsha Bennett
- James Benson
- Berger Acute Services
- Berger Hospital
All providers in Circleville, OH · Rehabilitation Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.