Jennifer Bentley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021606 Issued in IL

Practice address

2136 Vadalabene Dr
Suite D
Maryville, IL 62062-5828

Phone

(618) 288-4677

NPI assigned

Sep 3, 2015

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Schrage Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Apex Physical Therapy, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • Glen Carbon, IL
  • NPI 1376590307

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1609244813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 VADALABENE DR",
            "address_2": "SUITE D",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625828",
            "telephone_number": "618-288-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHRAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Catherine Beatty, PT
• Tammy M. Becherer, MS,CCC-SLP
• Abby Marie Beedy, PA-C
• Carol L Belanger, MS,CCC-SLP
• Mary Benhoff, LPC
• Andy Berberich
• Kara Berger
• Blake Karl Berner, D.C.
• Aaron Biala, MD
• Jordan Overbey Bickhaus, DPT

• Physical Therapist in Maryville, IL
• Providers in Maryville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.