Individual provider Active NPI

Steven Clark Bennett, MSPT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1205911872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
354321-2401 Issued in UT
Practice address
301 N 200 E
#3E
St George, UT 84770-3010
Phone
(435) 628-5194
Fax
(435) 628-5194
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 354321-2401 UT Primary

Addresses

Primary practice location

301 N 200 E
#3E
St George, UT 84770-3010

Mailing address

301 N 200 E
#3E
St George, UT 84770-3010
Phone (435) 628-5194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000882 UT Practitioner - Physical Therapist in Private Practice 5496820300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

1664 S Dixie Dr
Suite L105
St George, UT 84770-7331
Phone (435) 652-3707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neurological Rehabilitation Center Physical Therapist CurrentSince Jul 9, 1999 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

272 E Center St
Ste 103
Ivins, UT 84738
Phone (435) 674-2115

355 N Main St
Kanab, UT 84741
Phone (435) 644-4100

736 S 900 E
Ste 106
St George, UT 84790
Phone (435) 628-4460

754 S Main St
Ste 4
St George, UT 84770
Phone (435) 628-2671

1664 S Dixie Dr
Ste L105
St George, UT 84770
Phone (435) 652-3707

301 N 200 E
Ste 3E
St George, UT 84770
Phone (435) 628-5194

301 N 200 E
#3E
St George, UT 84770
Phone (435) 628-5194

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205911872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 200 E",
            "address_2": "#3E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703010",
            "telephone_number": "435-628-5194",
            "fax_number": "435-628-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 200 E",
            "address_2": "#3E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703010",
            "telephone_number": "435-628-5194",
            "fax_number": "435-628-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEVEN",
        "middle_name": "CLARK",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "354321-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.