TOM D BENNETCH (NPI# 1174638084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174638084 |
| Entity Type | Individual |
| Full Name | TOM D BENNETCH |
| Credential | PT |
| Practice Address |
297 S Lake Havasu Ave #102 Lake Havasu City AZ 86403 |
| Mailing Address |
1990 Mcculloch Blvd N #d282 Lake Havasu City AZ 86403-5749 |
| Practice Telephone | 9284530501 |
| Practice Fax Number | 9284530502 |
| Mailing Telephone | 9284530501 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 4446 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
297 S LAKE HAVASU AVE #102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205318011 | Miranda Shoemaker | Physical Therapist | 191 Swanson Ave Ste 102, Lake Havasu City, AZ 86403-6699 | 2018-08-29 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1215105630 | Brett Qualls | Physical Therapist | 191 Swanson Ave, #102, Lake Havasu City, AZ 86403-6699 | 2008-02-19 |
| 1396961140 | Tamra J Coleman | Physical Therapist | 1977 Acoma Blvd W, Lake Havasu City, AZ 86403-2958 | 2007-04-18 |
| 1932272820 | Mary Consuelo Halfacre Buie | Physical Therapist | 2200 Havasupa Blvd, Lake Havasu City, AZ 86403-6798 | 2006-11-16 |
| 1588695670 | Elizabeth L Marr | Physical Therapist | 1760 Mcculloch Blvd N Ste 200, Lake Havasu City, AZ 86403-6559 | 2006-07-06 |
| 1194781542 | Stacy Beck | Physical Therapist | 297 S Lake Havasu Ave #102, Lake Havasu City, AZ 86403 | 2006-04-25 |
| 1245295294 | John C Twomey | Physical Therapist | 1795 Civic Center Blvd, Lake Havasu City, AZ 86403-5673 | 2006-04-20 |
| 1134111529 | Havasu Physical Therapy | Physical Therapist | 2126 Mcculloch Blvd N, Ste 18, Lake Havasu City, AZ 86403-6742 | 2005-08-22 |
| 1326653239 | Therapeutic Consultants LLC | Physical Therapist | 1760 Mcculloch Blvd N Ste 200, Lake Havasu City, AZ 86403-6559 | 2020-09-09 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.