Cameron Bennett, PTA
Individual provider Active NPI Physical Therapy Assistant · Greenville, TX
NPI 1598965733 · NPPES record last updated Oct 19, 2018
Key facts
- NPI
- 1598965733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2081000 (TX)
- Practice address
- 2023 Fairway St
Greenville, TX 75402-8120 - Phone
- (603) 391-5147
- Fax
- (855) 232-8604
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2081000 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0898 | NH | |
| Physical Therapy Assistant | 225200000X | 2081000 | TX | Yes |
Addresses
Primary practice location
2023 Fairway St
Greenville, TX 75402-8120
Mailing address
2023 Fairway St
Greenville, TX 75402-8120
Phone (603) 391-5147
Other providers in Greenville, TX
- Nikhil Reddy Bathina
- Jackson A Bean
- Amy Beatty
- Johnnie Morris Beene Jr.
- Jasmine Rose Bellotte
- Ansu Mariam Bensen
- Angela Benson
- Mariama Isha Berry
- Brigit-Kelly Besong
- Franklin Betah
All providers in Greenville, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.