Individual provider Active NPI

Cole Bembenek, DPT

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1932926540
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4703 S Lakeshore Dr Ste 2
Tempe, AZ 85282-7159
Phone
(480) 718-9493
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 Primary

Addresses

Primary practice location

4703 S Lakeshore Dr Ste 2
Tempe, AZ 85282-7159

Mailing address

4703 S Lakeshore Dr Ste 2
Tempe, AZ 85282-7159
Phone (480) 718-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240930003464 AZ Practitioner - Physical Therapist in Private Practice 1355872441 Reassigns benefits to 1 organization
I20250605004089 NC Practitioner - Physical Therapist in Private Practice 1355872441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Rehab IncGroup PAC ID 4587558846, 10 clinicians

Practice addresses (Care Compare)

167 Gateway Blvd
Mooresville, NC 28117-5540
Phone (704) 658-1095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Rehab Inc Physical Therapist CurrentSince Apr 2, 2025 Accepting new patients
Revive Physical Therapy and Wellness, PLLC CurrentSince Sep 24, 2024 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

4703 S Lakeshore Dr
Ste 2
Tempe, AZ 85282
Phone (480) 442-8491

114 Welton Way
Ste B
Mooresville, NC 28117
Phone (704) 660-6551

167 Gateway Blvd
Mooresville, NC 28117
Phone (704) 658-1095

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1932926540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 S LAKESHORE DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827159",
            "telephone_number": "480-718-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 S LAKESHORE DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827159",
            "telephone_number": "480-718-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMBENEK",
        "first_name": "COLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.