Individual provider Active NPI

Jessica Marie Bento

  • Orthopedic Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1316100332
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7397 Issued in AZ
Practice address
9393 N 90TH St
Ste 118
Scottsdale, AZ 85258-5040
Phone
(480) 272-7641
NPI assigned
Jul 9, 2008
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 7397 AZ Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816000856 NV Practitioner - Physical Therapist in Private Practice 9133259500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Solutions LLCGroup PAC ID 9234303157, 4 clinicians

Practice addresses (Care Compare)

10105 Banburry Cross Dr
Las Vegas, NV 89144-6646
Phone (702) 475-4390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3341NVMDMarriage & Family Therapist
7397AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Clinic, Inc. PastSince Oct 27, 2014 Accepting new patients

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1316100332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10098 E EVANS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607573",
            "telephone_number": "248-212-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 N 90TH ST",
            "address_2": "STE 118",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585040",
            "telephone_number": "480-272-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTO",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "7397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.