Active NPI
Stephen Carl Bennett, OCCUPATIONAL THERAPI
- Occupational Therapist
- Battle Creek, MI
National Provider Identifier
1366094484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 300 North Ave
Battle Creek, MI 49017-3307 - Phone
- (269) 245-8125
- NPI assigned
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
300 North Ave
Battle Creek, MI 49017-3307
Mailing address
182 Gregg Dr
Battle Creek, MI 49014-7829
Phone (269) 419-4917
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1366094484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 GREGG DR",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490147829",
"telephone_number": "269-419-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173307",
"telephone_number": "269-245-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STEPHEN",
"middle_name": "CARL",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.