Robert Fred Bennecke Jr., KT

Primary specialty

KinesiotherapistTaxonomy code 226300000X

Practice address

1501 San Pedro SE
Albuquerque, NM 87108

Phone

(505) 265-1711

Fax

(505) 256-5704

NPI assigned

May 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Robert Fred Bennecke Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417909300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "87047",
            "telephone_number": "505-286-0169",
            "fax_number": "505-256-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-265-1711",
            "fax_number": "505-256-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNECKE",
        "first_name": "ROBERT",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "KT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "BENNECKE",
            "middle_name": "FRED",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "CDRS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Benitez
• William Benitez, AA, BSW
• Bernard Benjamin, COTA
• Larry Michael Benjey, MD
• David Bennahum, MD
• Shay Malynn Benner, CPNP-PC
• Madeleine Bennet, LCSW
• Brenda Bennett, PHARMD
• Charles William Bennett, M.D.
• Denise Lorraine Bennett, LCSW

• Kinesiotherapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Kinesiotherapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.