Lori L Bennett, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

705 Issued in NM

Practice address

7920 Mountain Rd NE
Albuquerque Physical Therapists
Albuquerque, NM 87110-7805

Phone

(505) 888-7979

Fax

(505) 888-8859

NPI assigned

Nov 22, 2006

Last updated

Nov 19, 2010By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Albuquerque Physical Therapists PC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1013062207
  Medicare reassignment

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1871668939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 HERMOSA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-268-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MOUNTAIN RD NE",
            "address_2": "ALBUQUERQUE PHYSICAL THERAPISTS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107805",
            "telephone_number": "505-888-7979",
            "fax_number": "505-888-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "705",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00Q017",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Bea Bennett
• John A Bennett, MD
• Kaitlin Elyse Bennett
• Kirsten Bennett, RD
• Lacie D Bennett, LMSW
• Michelle Bennett, LMT#8540,CNMT
• Shelby James Bennett, MD
• Simone Bennett
• Steven Eric Bennett, D.O.M.
• Terrence Bennett, M.D.

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.