Marc H Bennett, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056002934 Issued in IL

Practice address

5946 N Milwaukee Ave
Chicago, IL 60646-5424

Phone

(773) 775-6637

Fax

(773) 775-6638

NPI assigned

Apr 23, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Therapy Specialists, L.L.C.

  • Physical Therapist
  • Chicago, IL
  • NPI 1477507325
  NPD (past)
• Integrated Therapy Specialists, L.L.C.

  • Occupational Therapist
  • Chicago, IL
  • NPI 1891733697
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1457579658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465424",
            "telephone_number": "773-775-6637",
            "fax_number": "773-775-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5946 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465424",
            "telephone_number": "773-775-6637",
            "fax_number": "773-775-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARC",
        "middle_name": "H",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056002934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bennett
• Kenneth O Bennett, DC
• Latoi Bennett, LSW
• Leah Bennett, RD
• Maddie Bennett
• Margaret Bennett
• Nelson E Bennett Jr., MD
• Nikole R Bennett, LCSW
• Noel Miriam Bennett, M.D.
• Peter Sylvester Bennett, PH.D.

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.