Active NPI
Renee Bennett, PT
- Pediatric Physical Therapist
- Little Rock, AR
National Provider Identifier
1487702759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 807
- Practice address
- 10618 Breckenridge Dr
Little Rock, AR 72211-1802 - Phone
- (501) 217-8600
- Fax
- (501) 217-8636
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 807 | AR | |
| Pediatric Physical Therapist | 2251P0200X | 807 | AR | Primary |
Addresses
Primary practice location
10618 Breckenridge Dr
Little Rock, AR 72211-1802
Mailing address
10618 Breckenridge Dr
Little Rock, AR 72211-1802
Phone (501) 217-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T180 | Other | AR | BCBS |
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": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487702759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10618 BRECKENRIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111802",
"telephone_number": "501-217-8600",
"fax_number": "501-217-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10618 BRECKENRIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111802",
"telephone_number": "501-217-8600",
"fax_number": "501-217-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "RENEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "807",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5T180",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.