Stephanie Bennett, P.T.L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070010232 Issued in IL

Practice address

3032 Broadway St
Quincy, IL 62301-3708

Phone

(217) 222-6800

Fax

(217) 222-0037

NPI assigned

Jan 11, 2012

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

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 and National Provider Directory roles.

• Advance Physical Therapy & Sports Medicine LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1972513968
  NPD (past)
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapy Clinic/Center
  • Quincy, IL
  • NPI 1073882304
  NPD (past)
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1104836105
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1740550409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST",
            "address_2": "SUITE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012719",
            "telephone_number": "217-222-9300",
            "fax_number": "217-222-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEPHANIE",
        "credential": "P.T.L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Lee Behrens
• Jonna C. Bell, R.PH.
• Carri Lin Bellis
• Michael John Benedict, O.D.
• Carrie Bennett, FNP
• Miranda Kay Benson, MAT, AT, ATC
• Jessica Bentele, MSW, LCSW
• Regina Rae Bergman
• Emmmanuel Paye Bessay, MD
• Charlene Frances Besse

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.