Frank C Bennett, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 8084 Issued in FL

Practice address

17 Old Kings Rd N Ste K
Palm Coast, FL 32137-8283

Phone

(386) 255-4596

Fax

(386) 258-3561

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Florehab Center LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1730418237
  NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  NPD
• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  NPD
• Physical Therapy Associates of Orange Park, Inc

  dba Progressive Step Rehab of Orange Park

  • Physical Therapy Clinic/Center
  • Fleming Island, FL
  • NPI 1508883018

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1609189968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174611",
            "telephone_number": "386-255-4596",
            "fax_number": "386-258-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N STE K",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378283",
            "telephone_number": "386-255-4596",
            "fax_number": "386-258-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Boulder Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378555",
            "country_code": "US",
            "telephone_number": "386-445-9444",
            "fax_number": "386-446-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "FRANK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 8084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014192800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavior Gurus, LLC
• Thomas Belanger
• Lily Bellicini
• Sarah Elizabeth Benedict, RPH
• Grace Ann Pinili Benet
• Marlene Bennett, APRN
• Irene Berenblit
• Erica Bergeron
• Hannah M Bergman
• Alicia Michelle Berkowitz, M.A. CCC-SLP

• Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.