Terri Howell Benepe, PT
Individual provider Active NPI Physical Therapist · Hurst, TX
NPI 1609176148 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1609176148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1030229 (TX)
- Practice address
- 305 NE Loop 820
Hurst, TX 76053-7209 - Phone
- (817) 919-9748
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030229 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1030229 | TX | Yes |
Addresses
Primary practice location
305 NE Loop 820
Hurst, TX 76053-7209
Mailing address
10701 Ambling TRL
Fort Worth, TX 76108-6944
Phone (936) 689-0753
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. 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.