Dewalt David Bender, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20197 Issued in MD

Practice address

1420 Clarkview Rd
Baltimore, MD 21209-2104

Phone

(443) 213-0395

Fax

(443) 973-6125

NPI assigned

Dec 28, 2006

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peake Physical Therapy IncGroup PAC ID 8628216041, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peake Physical Therapy Inc

  dba Peake Physical Therapy

  • Physical Therapist
  • Hunt Valley, MD
  • NPI 1780732982
  Medicare reassignment Care Compare group Authorized official
• First Physical Therapy Network, Inc

  dba Physical Therapy First

  • Physical Therapist
  • Baltimore, MD
  • NPI 1053705632
  NPD (past)
• Physical Therapy First, LLC

  • Point of Service
  • Baltimore, MD
  • NPI 1528240850
  NPD (past)
• Rehabilitation Resources of Maryland, Inc.

  • Physical Therapist
  • Hunt Valley, MD
  • NPI 1225046410
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1447316229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 EXECUTIVE PLAZA IV RD STE LL12",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318997",
            "telephone_number": "443-213-0395",
            "fax_number": "443-973-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CLARKVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092104",
            "telephone_number": "443-213-0395",
            "fax_number": "443-973-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11350 McCormick Rd Ste Ll12",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210311002",
            "country_code": "US",
            "telephone_number": "443-213-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "DEWALT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Bena
• Noelle L Benach, LCPC
• Dina Jayanti Benani, PHARMD
• Christine Benato
• David Roger Benavides, M.D., PH.D.
• Jordan Denise Benderoth
• Stacy Bendet
• Emile A Bendit, M.D.
• Robert M Benedek, PHD
• Dean Benedetti

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.