Active NPI
Cynthia Elizabeth Bennett, PT
- Physical Therapist
- Tualatin, OR
National Provider Identifier
1972678431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1583
- Practice address
- 19767 SW 72ND Ave
#102
Tualatin, OR 97062 - Phone
- (503) 885-2199
- Fax
- (503) 885-2129
- NPI assigned
- Nov 21, 2006
- Last updated
- Oct 14, 2010
- 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 | 1583 | OR | Primary |
Addresses
Primary practice location
19767 SW 72ND Ave
#102
Tualatin, OR 97062
Mailing address
19767 SW 72ND Ave
#102
Tualatin, OR 97062
Phone (503) 885-2199
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1583 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1972678431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19767 SW 72ND AVE",
"address_2": "#102",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062",
"telephone_number": "503-885-2199",
"fax_number": "503-885-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19767 SW 72ND AVE",
"address_2": "#102",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062",
"telephone_number": "503-885-2199",
"fax_number": "503-885-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "CYNTHIA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
- Sivan Ben-David, DO
- Benchmark Clinic of Integrative Medicine, PC (The Tualatin Clinic of Natural Medicine)
- Benchmark Clinic of Integrative Medicine, PC (Tualatin Clinic of Natural Medicine)
- Yanina M Benikova, M.D.
- Danielle Benjamin, DPT
- Adam Berens, MSN-FNP
- Jonathan Michael Berger, M.D.
- Berk Neurosurgical, LLC
- Angela Bertsch, LMT
- Better Hearing Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.