Active NPI
Anthony Bennett, PTA
- Physical Therapy Assistant
- Canton, NC
National Provider Identifier
1407497399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A6875
- Practice address
- 100 Silver Bluff Dr
Canton, NC 28716-6350 - Phone
- (828) 648-2044
- NPI assigned
- Oct 2, 2019
- Last updated
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A6875 | NC | Primary |
Addresses
Primary practice location
100 Silver Bluff Dr
Canton, NC 28716-6350
Mailing address
2200 Kensington PL Apt G
Asheville, NC 28803-2295
Phone (828) 713-9538
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Bennettas33@consonsushealth.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A6875 | NC | MD | Physical Therapy Assistant |
Interoperability endpoints
- bennettas33@consonsushealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1407497399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 KENSINGTON PL APT G",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032295",
"telephone_number": "828-713-9538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SILVER BLUFF DR",
"city": "CANTON",
"state": "NC",
"postal_code": "287166350",
"telephone_number": "828-648-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ANTHONY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A6875",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Bennettas33@consonsushealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Silver Bluff Dr",
"city": "Canton",
"state": "NC",
"country_code": "US",
"postal_code": "287166350",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.