Joshua Walter Bennett, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1403051 Issued in TX

Practice address

3106 S W S Young Dr Ste A102
Killeen, TX 76542-2000

Phone

(254) 628-8391

NPI assigned

Sep 7, 2024

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1841025806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BOGHT RD",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121891105",
            "telephone_number": "518-225-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S W S YOUNG DR STE A102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422000",
            "telephone_number": "254-628-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319A Southbridge St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "015012598",
            "country_code": "US",
            "telephone_number": "508-832-2628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Heritage Ln",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122111011",
            "country_code": "US",
            "telephone_number": "518-869-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOSHUA",
        "middle_name": "WALTER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-07",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27956",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052527",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1403051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Benedict, MS, CCC-SLP
• Dannilyz Benitez, MS
• Elenita S Benitezpenuelas, AGPCNP
• Julie Leonora Benjegerdes, PHARM.D.
• Jennifer Leah Bennett, L.M., C.P.M.
• Justice Bennett
• Selina Bennett, LPC
• Telesha Michelle Bennett, RBT
• Aubrey Elizabeth Bentley
• Holly Berg, LPN

• Physical Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.