Active NPI
Kristy A Bennis, PT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1952403610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1142339
- Practice address
- 7115 Greenville Ave
Suite 300
Dallas, TX 75231-5100 - Phone
- (214) 239-0990
- Fax
- (214) 239-0991
- NPI assigned
- Sep 2, 2006
- Last updated
- Jul 8, 2007
- 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 | 1142339 | TX | Primary |
Addresses
Primary practice location
7115 Greenville Ave
Suite 300
Dallas, TX 75231-5100
Mailing address
PO Box 670769
Dallas, TX 75367-0769
Phone (214) 239-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86285T | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142339 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith & Stokes PC | Past | Accepting new patients | |
| Orthopedic Physical Therapy Specialists P C | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1972614030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952403610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670769",
"city": "DALLAS",
"state": "TX",
"postal_code": "753670769",
"telephone_number": "214-239-0990",
"fax_number": "214-239-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 GREENVILLE AVE",
"address_2": "SUITE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "752315100",
"telephone_number": "214-239-0990",
"fax_number": "214-239-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNIS",
"first_name": "KRISTY",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1142339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86285T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.