Jacqueline Paller Bender, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14305 Issued in NC

Practice address

7532 Wilkins Dr
Fayetteville, NC 28311-9338

Phone

(910) 868-6000

NPI assigned

Sep 13, 2016

Last updated

Feb 4, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Move With Me Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, NC
  • NPI 1396871869
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1841748407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MEBANE OAKS RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027951",
            "telephone_number": "919-563-1825",
            "fax_number": "919-563-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 WILKINS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119338",
            "telephone_number": "910-868-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3948 Forest Oaks Ln",
            "address_2": "Bldg. E",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273029813",
            "country_code": "US",
            "telephone_number": "919-563-1133",
            "fax_number": "919-304-9042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JACQUELINE",
        "middle_name": "PALLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G76041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfredo Benarroch
• Liliana Benavides
• Tabitha L. Benavidez, PT
• Benchmark Physical Therapy of NC, LLC
• Benchmark Physical Therapy of NC, LLC (BenchMark PT - Fayetteville)
• Beneficence Home Health Care Agency LLC
• Benevolent Care LLC
• Benevolent Counseling, PLLC (Benevolent Counseling)
• Lakeish Benjamin
• Latonya Benjamin, CADC-I

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.