Jamie Sue Bennett, DPT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018455 Issued in MI

Practice address

2073 Holton Rd
Muskegon, MI 49445-1535

Phone

(231) 744-0077

Fax

(231) 744-0030

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiocore LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1770196370
  NPD Authorized official
• Bodies in Motion Physical Therapy III, LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1952629123
  NPD (past)
• Primus Physical Therapy

  • Physical Therapist
  • Centreville, VA
  • NPI 1871959726
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1982939633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 HOLTON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451535",
            "telephone_number": "231-744-0077",
            "fax_number": "231-744-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 HOLTON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451535",
            "telephone_number": "231-744-0077",
            "fax_number": "231-744-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JAMIE",
        "middle_name": "SUE",
        "credential": "DPT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206165",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ann Belcourt, RN
• Anita Olga Bell, D.O.
• Thomas Bell
• Abigail Benedict, LLMSW
• Amanda R Bennett, D.O.
• Kesa Bennett, LPN
• Benson Drug Company Inc.
• Kathleen M Benton, RD
• Melissa Ann Benton, BA
• Patricia Benton, OTR

• Physical Therapist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.