Christopher Earl Bennett, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005005711 Issued in MO

Practice address

4972 Benchmark Centre Dr
Suite 400
Swansea, IL 62226-2070

Phone

(618) 622-0303

Fax

(618) 622-0909

NPI assigned

Jul 31, 2006

Last updated

Mar 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bennett Rehab Services, LLCGroup PAC ID 6305139551, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bennett Rehab Services, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapist
  • Fenton, MO
  • NPI 1629423116
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1720094634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 BENCHMARK CENTRE DR",
            "address_2": "SUITE 400",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262070",
            "telephone_number": "618-622-0303",
            "fax_number": "618-622-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 BENCHMARK CENTRE DR",
            "address_2": "SUITE 400",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262070",
            "telephone_number": "618-622-0303",
            "fax_number": "618-622-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "EARL",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005005711",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016895",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2005005711",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070016895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tikera Bell
• Belleville Counseling Associates
• Belleville Imaging, Inc.
• Debra Jo Bellm, MSW, LCSW
• Benchmark Physical Therapy and Wellness Center LLC
• Jamie Benson, LMFT
• Christine Elaine Benton, LPC
• Cory Matthew Berberich
• Angela Berra, LSW
• Timothy Joseph Bertelsman, D.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.