Active NPI
Stacy Lynn Bennett, PT, DPT
- Orthopedic Physical Therapist
- Louisville, KY
National Provider Identifier
1578866166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 006269
- Practice address
- 13201 Magisterial Dr
Louisville, KY 40223-4105 - Phone
- (502) 244-6770
- NPI assigned
- Dec 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 37349 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 006269 | KY | Primary |
Addresses
Primary practice location
13201 Magisterial Dr
Louisville, KY 40223-4105
Mailing address
3342 Commodore Dr
Apt. 471
Lexington, KY 40502-3606
Phone (859) 699-6222
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Richmond, KY
- NPI 1295477248
-
- Physical Therapy Clinic/Center
- Lexington, KY
- NPI 1730189762
Physical Therapist
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37349 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Orthopedic Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
| Kentucky Orthopedic Rehabilitation, LLC | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1578866166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3342 COMMODORE DR",
"address_2": "APT. 471",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023606",
"telephone_number": "859-699-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13201 MAGISTERIAL DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234105",
"telephone_number": "502-244-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-21",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37349",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "006269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.