Active NPI
Morgan Bennett, PT, DPT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1194314682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28270
- Practice address
- 1419 Knecht Ave
Baltimore, MD 21227-1415 - Phone
- (410) 247-9595
- NPI assigned
- Jan 11, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28270 | MD | Primary |
Addresses
Primary practice location
1419 Knecht Ave
Baltimore, MD 21227-1415
Mailing address
710 Miller Rd
Parkton, MD 21120-9308
Phone (443) 791-3438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28270 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1194314682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 MILLER RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209308",
"telephone_number": "443-791-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 KNECHT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212271415",
"telephone_number": "410-247-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MORGAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.