Jessica Marie Bento
Individual provider Active NPI Orthopedic Physical Therapist · Scottsdale, AZ
NPI 1316100332 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1316100332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 7397 (AZ)
- Practice address
- 9393 N 90TH St
Ste 118
Scottsdale, AZ 85258-5040 - Phone
- (480) 272-7641
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Solutions LLC
Practice addresses (Care Compare)
10105 Banburry Cross Dr
Las Vegas, NV 89144-6646
Phone (702) 475-4390
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816000856 | NV | Practitioner - Physical Therapist in Private Practice | 9133259500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3341 | NV | MD | Marriage & Family Therapist |
| 7397 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cor Clinic, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 7397 | AZ | Yes |
Addresses
Primary practice location
9393 N 90TH St
Ste 118
Scottsdale, AZ 85258-5040
Mailing address
10098 E Evans Dr
Scottsdale, AZ 85260-7573
Phone (248) 212-5277
Other providers in Scottsdale, AZ
- Benson Chiropractic PLLC
- Kevin K Benson
- Levi Benson
- Matthew Russell Benson
- Brooke Bentley
- Toby Sara Benton
- Cecilia L Benz
- Ruth Benzar
- Roberto P Benzo
- Azizullah Ahmadallah Beran
All providers in Scottsdale, AZ · Orthopedic Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.