Griffin Bennett, PT, DPT
Individual provider Active NPI Physical Therapist · Auburn, MA
NPI 1972267458 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1972267458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25649 (MA)
- Practice address
- 489 Washington St Ste 200
Auburn, MA 01501-5709 - Phone
- (774) 696-8309
- Fax
- (508) 297-8416
- NPI assigned
- Oct 29, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy Innovations, Inc
Practice addresses (Care Compare)
489 Washington St
Suite 200
Auburn, MA 01501-5709
Phone 5087210000521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220221000906 | MA | Practitioner - Physical Therapist in Private Practice | 5799179586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25649 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Innovations, Inc | Physical Therapist | Current |
Accepting new patients |
| Francis P. Defalco, PC | Past |
Accepting new patients |
Locations
489 Washington St
Ste 200
Auburn, MA 01501
Phone 5087210000199
584 Summer St
Barre, MA 01005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25649 | MA | Yes |
Addresses
Primary practice location
489 Washington St Ste 200
Auburn, MA 01501-5709
Mailing address
489 Washington St Ste 200
Auburn, MA 01501-5709
Phone (774) 696-8309
Other practice location 1
584 Summer St
Barre, MA 01005-9548
Phone (508) 721-0000
Other providers in Auburn, MA
- Linda Barry
- Sarah Allen Beckwith
- Abhayjit S Bedi
- Jennifer Belinski
- Christal Marie Bello
- Jeffrey Allen Benoit
- Jodi Benoit
- Ina Beqo
- Cheryl A Bessom
- Bisa Short-Term Post- Hospitalization Housing
All providers in Auburn, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.