Individual provider Active NPI

Hunter Bennett, DPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1851077499
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014588A Issued in IN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230720002969 IN Practitioner - Physical Therapist in Private Practice 7517327687 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
05014588AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Technology and Rehabilitation, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Turnstone Center for Children and Adults With Disabilities, Inc. Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Spine Technology and Rehabilitation, P.C. PastSince Jul 2, 2023 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.

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.

Verify at the official NPI Registry.