Active NPI
Brooks Leigh Bentley, PTA
- Rehabilitation Hospital Unit
- Huntersville, NC
National Provider Identifier
1801098488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- PTA 05958
- Practice address
- 16405 Northcross Dr
Suiteg-2
Huntersville, NC 28078-5091 - Phone
- (330) 831-6649
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | PTA 05958 | OH | Primary |
Addresses
Primary practice location
16405 Northcross Dr
Suiteg-2
Huntersville, NC 28078-5091
Mailing address
53 Duquesne St
Columbiana, OH 44408-1527
Phone (330) 831-6649
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 |
|---|---|---|---|
| PTA 05958 | OH | MD | Rehabilitation Hospital Unit |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801098488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 DUQUESNE ST",
"city": "COLUMBIANA",
"state": "OH",
"postal_code": "444081527",
"telephone_number": "330-831-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16405 NORTHCROSS DR",
"address_2": "SUITEG-2",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785091",
"telephone_number": "330-831-6649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "BROOKS",
"middle_name": "LEIGH",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "OH",
"license": "PTA 05958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.