Active NPI
Maryann Bentley
- Physical Therapist
- Paoli, PA
National Provider Identifier
1720105554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007011L
- Practice address
- 600 Paoli Pointe Dr
Paoli, PA 19301-2104 - Phone
- (610) 296-2527
- Fax
- (610) 296-2790
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007011L | PA | Primary |
Addresses
Primary practice location
600 Paoli Pointe Dr
Paoli, PA 19301-2104
Mailing address
PO Box 64
Southeastern, PA 19399-0064
Phone (610) 296-2527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007011L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1720105554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64",
"city": "SOUTHEASTERN",
"state": "PA",
"postal_code": "193990064",
"telephone_number": "610-296-2527",
"fax_number": "610-296-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PAOLI POINTE DR",
"city": "PAOLI",
"state": "PA",
"postal_code": "193012104",
"telephone_number": "610-296-2527",
"fax_number": "610-296-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "MARYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007011L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.