Active NPI
Linda S Bennett, MPT
- Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9455
- Practice address
- 6019 Oleander Dr
Suite 101
Wilmington, NC 28403-4796 - Phone
- (910) 791-0001
- Fax
- (910) 791-6888
- NPI assigned
- Dec 28, 2005
- 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 | 9455 | NC | Primary |
Addresses
Primary practice location
6019 Oleander Dr
Suite 101
Wilmington, NC 28403-4796
Mailing address
6019 Oleander Dr
Suite 101
Wilmington, NC 28403-4796
Phone (910) 791-0001
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4495020001 | Other | NC | DME MEDICARE |
| 7212104 | Medicaid | NC | |
| 0784P | Other | NC | BCBS GROUP |
| 720784P | Other | NC | MEDICAID GROUP |
| 7200002 | Other | NC | MEDICAID GROUP |
| 2503655 | Other | NC | MEDICARE GROUP |
| DF4857 | Other | NC | RR MEDICARE GROUP |
| 0671F | Other | NC | BCBS ID |
| 2509457 | Other | NC | MEDICARE ID |
| P00369642 | Other | NC | RR MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
2585 Hendersonville Rd
Arden, NC 28704-9577
Phone (828) 258-8800
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9455 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Wilmington Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
6019 Oleander Dr
Ste 101
Wilmington, NC 28403
Phone (910) 332-3828
6019 Oleander Dr
Wilmington, NC 28403
Phone (910) 508-5037
Interoperability endpoints
- linda.bennett.1@847.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Physical Therapist
- Wilmington, NC
- NPI 1356309090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1871570077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6019 OLEANDER DR",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034796",
"telephone_number": "910-791-0001",
"fax_number": "910-791-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 OLEANDER DR",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034796",
"telephone_number": "910-791-0001",
"fax_number": "910-791-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LINDA",
"middle_name": "S",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME MEDICARE",
"identifier": "4495020001",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212104",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0784P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "720784P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "7200002",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2503655",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "DF4857",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "0671F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "2509457",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00369642",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.