Rebecca Bentley, ATC, LAT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

AL3673 Issued in FL

Practice address

1080 SW 11TH St
Gainesville, FL 32601-7845

Phone

(352) 392-1554

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1871900894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WINDMEADOWS BLVD",
            "address_2": "205W",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SW 11TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326017845",
            "telephone_number": "352-392-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "REBECCA",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "AL3673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Benson
• Wendy Marie Benson
• Hannah Grace Bentle
• Katonya Bentley-Anderson
• Hope Aznavorian Bentley, MD
• Thomas Patrick Bentley, M.D.
• Benton Pediatrics
• Heather Marie Benton, OTR/L
• Thomas BB Benton, MD
• James A Benzmiller, M.D.

• Student in an Organized Health Care Education/Training Program in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.