Active NPI
Hunter Bennett, DPT
- Physical Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014588A
- Practice address
- 9502 Lima Rd Ste 103
Fort Wayne, IN 46818-9270 - Phone
- (260) 459-7313
- Fax
- (260) 436-0628
- NPI assigned
- Jun 27, 2023
- Last updated
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 05014588A | IN | Primary |
Addresses
Primary practice location
9502 Lima Rd Ste 103
Fort Wayne, IN 46818-9270
Mailing address
9502 Lima Rd Ste 103
Fort Wayne, IN 46818-9270
Phone (260) 459-7313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3320 N Clinton St
Fort Wayne, IN 46805-1918
Phone 2604832100222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05014588A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Technology and Rehabilitation, P.C. | Current | Accepting new patients | |
| Turnstone Center for Children and Adults With Disabilities, Inc. | Physical Therapist | Current | Accepting new patients |
| Spine Technology and Rehabilitation, P.C. | Past | Accepting new patients |
Locations
3320 N Clinton St
Fort Wayne, IN 46805
Phone (260) 483-2100
9502 Lima Rd
Ste 103
Fort Wayne, IN 46818
Phone (260) 459-7313
Organizations & group practices 3
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.
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1437158722
-
- Physical Medicine & Rehabilitation Physician
- Fort Wayne, IN
- NPI 1245213263
-
- Physical Medicine & Rehabilitation Physician
- Angola, IN
- NPI 1154304186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1851077499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9502 LIMA RD STE 103",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468189270",
"telephone_number": "260-459-7313",
"fax_number": "260-436-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9502 LIMA RD STE 103",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468189270",
"telephone_number": "260-459-7313",
"fax_number": "260-436-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "HUNTER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05014588A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.