Rodney Alan Bennett Jr., DPT
Individual provider Active NPI Physical Therapist · Sneads Ferry, NC
NPI 1609686773 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1609686773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P23735 (NC)
- Practice address
- 1961 NC-172
Unit 106
Sneads Ferry, NC 28460-5401 - Phone
- (910) 325-4141
- NPI assigned
- Jan 10, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Performance Sports and Physical Therapy LLC
Practice addresses (Care Compare)
1961 NC Hwy 172
Suite And106
Sneads Ferry, NC 28460-9195
Phone (910) 325-4141
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314002393 | NC | Practitioner - Physical Therapist in Private Practice | 5698297026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P23735 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Sports and Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. | Past |
Accepting new patients |
Locations
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
2457 Gum Branch Rd
Ste 600700
Jacksonville, NC 28540
Phone (910) 938-7555
2756 Richlands Hwy
Jacksonville, NC 28540
Phone (910) 378-0147
2009 Neuse Blvd
New Bern, NC 28560
Phone (252) 636-9800
200 Advance Ln
Unit 4
Richlands, NC 28574
Phone (910) 294-8602
1961 NC Highway 172
Ste AND106
Sneads Ferry, NC 28460
Phone (910) 325-4141
1961 NC Highway 172
Ste 105
Sneads Ferry, NC 28460
656 W Corbett Ave
Swansboro, NC 28584
Phone (910) 326-3050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P23735 | NC | Yes |
Addresses
Primary practice location
1961 NC-172
Unit 106
Sneads Ferry, NC 28460-5401
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Other providers in Sneads Ferry, NC
- Michael Anthony Anderson
- Heidi Leone Arft
- At Home Pediatric Therapy, Inc.
- Charles William Bauer
- Rebekah Bell
- Jacob Tyrell Berg
- Brianna Bingerman
- Brian David Bjerke
- Joel Blades
- Carmody Bowman
All providers in Sneads Ferry, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.