DR. PAUL JOHN BENNETT (NPI# 1780933770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780933770 |
| Entity Type | Individual |
| Full Name | DR. PAUL JOHN BENNETT |
| Practice Address |
100 Ne Randolph Ave Peoria IL 61606-1919 |
| Practice Telephone | 3096838170 |
| Mailing Telephone | 3096838170 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 070019448 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366526600 | Paul A Bennett | Family Medicine | 374 E. Grand Ave, Carbondale, IL 62901 | 2006-10-24 |
| 1114164530 | Paul J Bennett | Social Worker | 540 Litchfield St, Torrington, CT 06790-6679 | 2009-01-08 |
| 1750546495 | Paul Martin Bennett | Internal Medicine | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2008-07-22 |
| 1831265388 | Paul Clark Bennett | Social Worker | 1212 W Main St, Visalia, CA 93291-5917 | 2006-11-27 |
| 1932110723 | Paul G. Bennett | Nurse Anesthetist, Certified Registered | 4441 E Mcdowell Rd, Suite 101, Phoenix, AZ 85008-4503 | 2006-08-10 |
| 1851305569 | Paul J. Bennett | Specialist | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2006-07-28 |
| 1801855853 | Paul Wesley Bennett | Family Medicine | 4151 Hoover Rd, Grove City, OH 43123-3617 | 2006-03-20 |
| 1346217114 | Paul Bennett | Anesthesiology | 24355 Lyons Ave, Ste.#120, Santa Clarita, CA 91321-2300 | 2006-03-01 |
| 1801884341 | Paul S Bennett | Otolaryngology | 1248 Huffman Mill Road Ste 200, Burlington, NC 27215-8700 | 2005-10-10 |
| Street Address |
100 NE RANDOLPH AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942220819 | Carrie A. Randell | Physical Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2006-07-20 |
| 1497271035 | Ashley Nicole Workman | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-08-15 |
| 1922544287 | Michael Holloway | Physical Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-01-11 |
| 1710423033 | Lauren Raube | Physical Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-01-10 |
| 1316482912 | Meredith Burd | Occupational Therapist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2017-01-05 |
| 1942745120 | Brittany Heidemann | Speech-Language Pathologist | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2016-12-27 |
| 1518419233 | Pamela Madden | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2016-10-28 |
| 1063885556 | Jenny Wagner | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2015-11-05 |
| 1164813515 | Connie E. Zurski | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2015-02-06 |
| 1932505302 | Sally N. Coyle | Nurse Practitioner | 100 Ne Randolph Ave, Peoria, IL 61606-1919 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029609 | Jack Joel Little | Physical Medicine & Rehabilitation | 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 | 2019-08-23 |
| 1710371935 | Realhealth Advanced Care Sc | Physical Medicine & Rehabilitation | 4306 N Sheridan Rd, Peoria, IL 61614-5918 | 2015-03-25 |
| 1750566139 | Alicia Joy Beanblossom | Physical Medicine & Rehabilitation | 6853 W Ironwood Dr, Peoria, AZ 85345-6843 | 2008-01-04 |
| 1518902469 | Omprakash N. Sureka | Physical Medicine & Rehabilitation | 5431 W. Stonebridge Ct., Peoria, IL 61615-2932 | 2006-06-17 |
| 1053366989 | Pain Centers Nationwide, PC | Physical Medicine & Rehabilitation | 8877 W Union Hills Dr Ste 200, Peoria, AZ 85382-3016 | 2006-05-22 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1134190028 | Xuan T. Truong | Physical Medicine & Rehabilitation | 5401 N. Knoxville Ave., Peoria, IL 61614-5098 | 2006-01-30 |
| 1053310425 | Richard A Flores | Physical Medicine & Rehabilitation | 6339-a N Big Hollow Rd, Peoria, IL 61615-2907 | 2005-07-19 |
| 1417557703 | Jessica Salim | Physical Medicine & Rehabilitation | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-10-27 |
| 1841837838 | One Physical Therapy LLC | Physical Medicine & Rehabilitation | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2019-12-09 |
| Find all providers in PEORIA | ||||
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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.