Bennett Rehab Services, LLC
Organization Active NPI Physical Therapist · Fenton, MO
NPI 1629423116 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1629423116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BENNETT REHAB SERVICES, LLC
- Practice address
- 54 Fenton PLZ
Fenton, MO 63026-4110 - Phone
- (636) 600-1300
- Fax
- (636) 600-1301
- NPI assigned
- May 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Christopher Bennett
- Title
- Owner
- Phone
- (618) 651-0444
Practitioners 4
-
Julie C Ramos, P.T.
-
Olivia Schmitt, DPT
-
Christopher D Thomas, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160726000313 | MO | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6305139551 |
Receives reassigned benefits from 4 practitioners Practice locations: Fenton, MO; Saint Louis, MO |
National Provider Directory
Locations
54 Fenton Plz
Fenton, MO 63026
Phone (636) 600-1300
524 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 600-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
54 Fenton PLZ
Fenton, MO 63026-4110
Mailing address
15 Apex Dr
Highland, IL 62249-1282
Other names
- ApexNetwork Physical Therapy
Other providers in Fenton, MO
- Lauren Melissa Beckmann
- Alexandra Behrens
- Bemes Home Medical Inc
- Jeannette Marie Bender
- Achintya Narendra Benegal
- Erika May Benson
- Bent Back Chiropractic, LLC
- Caitlin Berkbigler
- Andrew David Biekert
- Amanda K. Bigler
All providers in Fenton, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2016. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.