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JUDY J BENTON NPI 1013187079


NPI Information

NPI: 1013187079
Provider Name: JUDY J BENTON

Doing Business As: PEDIATRIC PHYSICAL THERAPY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1705 LEIGHTON AVE
ANNISTON, AL
ZIP 36207
Phone: (256) 235-2524
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JUDY J BENTON is a customized equipment durable medical equipment medical supplies in Anniston, AL. JUDY J BENTON NPI is 1013187079. The provider is registered as an organization entity type.
The provider Is Doing Business As Pediatric Physical Therapy.

The provider's business location address is:

1705 LEIGHTON AVE
ANNISTON, AL
ZIP 36207-832
Phone: (256) 235-2524
Fax: (256) 236-2573

The provider's authorized official is Judy J Benton .
The authorized official title is SOLE PROPRIETORProprietor and has the following contact phone number (256) 235-2524.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentPTH1017ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009606590MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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