Individual provider Active NPI

John Philip Bentley, PT

  • Physical Therapist
  • Whitesburg, KY
National Provider Identifier
1295720480
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2238 Issued in KY
Practice address
149 Medical Plaza Lane
Suite a
Whitesburg, KY 41858
Phone
(606) 632-1188
Fax
(606) 632-0075
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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 2238 KY Primary

Addresses

Primary practice location

149 Medical Plaza Lane
Suite a
Whitesburg, KY 41858

Mailing address

149 Medical Plaza Lane
Suite a
Whitesburg, KY 41858
Phone (606) 632-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000150 KY Practitioner - Physical Therapist in Private Practice 8527957786 Reassigns benefits to 1 organization
I20120824000461 VA Practitioner - Physical Therapist in Private Practice 8527957786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Rehabilitation Team IncGroup PAC ID 1355230509, 5 clinicians

Practice addresses (Care Compare)

149 Medical Plaza LN
Suite a
Whitesburg, KY 41858-9478
Phone (606) 632-1188

348 Coeburn Swave
Suite 348
Norton, VA 24273-2606
Phone (276) 679-5217

419 Town Mountain Rd
Suite 108
Pikeville, KY 41501-1632
Phone (606) 432-8782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2238KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic PSC CurrentSince Jan 1, 2019 Accepting new patients
Appalachian Rehabilitation Team, Inc Physical Therapist Past Accepting new patients
Appalachian Rehabilitation Team, Inc Physical Therapist PastSince Jul 10, 2012 Accepting new patients
Appalachian Rehabilitation Team, Inc Physical Therapist Past Accepting new patients
Appalachian Rehabilitation Team, Inc Physical Therapist Past Accepting new patients
Appalachian Rehabilitation Team, Inc Physical Therapist Past Accepting new patients
Appalachian Rehabilitation Team, Inc Physical Therapist Past Accepting new patients

Locations

419 Town Mountain Rd
Ste 108
Pikeville, KY 41501
Phone (606) 432-8782

149 Medical Plaza Ln
Ste A
Whitesburg, KY 41858
Phone (606) 623-1188

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1295720480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MEDICAL PLAZA LANE",
            "address_2": "SUITE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-632-1188",
            "fax_number": "606-632-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MEDICAL PLAZA LANE",
            "address_2": "SUITE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-632-1188",
            "fax_number": "606-632-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.