Lee C Bennett III, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01935 Issued in RI

Practice address

10 High St
S. C. Ortho - Suite G
Wakefield, RI 02879-3144

Phone

(401) 783-8077

Fax

(401) 789-6029

NPI assigned

Jul 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982627634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CRESTWOOD DR",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028323405",
            "telephone_number": "207-577-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "S. C. ORTHO - SUITE G",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793144",
            "telephone_number": "401-783-8077",
            "fax_number": "401-789-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LEE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kara McKenna Biller, OT
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• Physical Therapist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.