Individual provider Active NPI

Dominic Bendetti, DPT

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1306506621
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015708 Issued in GA
Practice address
7805 Abercorn St Ste 21
Savannah, GA 31406-2457
Phone
(912) 356-3559
NPI assigned
Dec 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047921 NY
Physical Therapist 225100000X PT015708 GA Primary

Addresses

Primary practice location

7805 Abercorn St Ste 21
Savannah, GA 31406-2457

Mailing address

6397 Lee Hwy
Chattanooga, TN 37421-2564
Phone (423) 617-0953

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11354SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients

Locations

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607

Organizations & group practices 1

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1306506621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-617-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 ABERCORN ST STE 21",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062457",
            "telephone_number": "912-356-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDETTI",
        "first_name": "DOMINIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047921",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.