BENNETT CLINIC LLC NPI 1083946586

NPI Information

  • NPI: 1083946586
  • Provider Name: BENNETT CLINIC LLC
  • Classification: Clinic/Center - 261QP2000X
  • Specialization: Physical Therapy
  • Entity Type: Organization
  • Doing Business As: BENNETT CLINIC
  • CLIA Number: 03D2074170
  • Address: 1202 WILLOW CREEK RD
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 771-9400

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NPI Details

BENNETT CLINIC LLC is a physical therapy clinic center in Prescott, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. BENNETT CLINIC LLC NPI is 1083946586. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bennett Clinic.

The provider's business location address is:

1202 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-428
Phone: (928) 771-9400
Fax: (928) 771-9464

The provider's authorized official is Wayne Anthony Bennett .
The authorized official title is Director and has the following contact phone number (928) 771-9400.

The CLIA number assigned to this NPI record is 03D2074170 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 3/6/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NX0800XChiropractorOrthopedic5009ARIZONANo
2261QP2000XClinic/CenterPhysical TherapyPT 6078ARIZONAYes

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: 11/21/2025

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