Mark A Bennett

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

12664 Issued in NC

Practice address

801 Pinehurst Ave
Carthage, NC 28327-9338

Phone

(910) 947-5155

NPI assigned

Sep 12, 2021

Last updated

Sep 12, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1235808387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BRIARWOOD PL",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273322382",
            "telephone_number": "270-307-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PINEHURST AVE",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283279338",
            "telephone_number": "910-947-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARK",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "12664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia H Ballard, FNP
• Deborah Shamberger Barrett, RN NP
• Christine Bartel
• Debra Lee Bateman, FNPC
• Susan C Beachler, OD
• Pamela Diana Bennett, FNP-C
• Christopher Berry, DDS
• Bradley Langley DDS PLLC (Buggy Town Dental)
• David Brill, RPH
• Roberta Kathleen Britt, BSN,RN

• Gerontology Occupational Therapist in Carthage, NC
• Providers in Carthage, NC by specialty
• Gerontology Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.