Dr Brandon Bruce Bennett, DPT, LAT | |
7605 38th Ct Se, Lacey, WA 98503-4804 | |
(360) 349-8606 | |
Not Available |
Full Name | Dr Brandon Bruce Bennett |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 7605 38th Ct Se, Lacey, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447570809 | NPI | - | NPPES |
PU 60159680 | Other | WA | PHYSICAL THERAPIST INTERIM PERMIT |
A1 60054681 | Other | WA | ATHLETIC TRAINER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | PU 60159680 (Washington) | Secondary |
225100000X | Physical Therapist | PU 60159680 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Therapy Empowered Pllc | 7012347388 | 3 |
Provider Name | Integrated Rehabilitation Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944 |
Provider Name | South Sound Physical & Hand Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548217631 PECOS PAC ID: 6709774631 Enrollment ID: O20040310000846 |
Provider Name | Physical Therapy Empowered Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912538505 PECOS PAC ID: 7012347388 Enrollment ID: O20200429000774 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon Bruce Bennett, DPT, LAT 7605 38th Ct Se, Lacey, WA 98503-4804 Ph: (360) 349-8606 | Dr Brandon Bruce Bennett, DPT, LAT 7605 38th Ct Se, Lacey, WA 98503-4804 Ph: (360) 349-8606 |
Dorothy Kilvington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300 | |
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Nicole Dominique Jalandoni Vasquez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516 Phone: 360-456-1444 | |
Juman Park, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 | |
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473 | |
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192 | |
Michaela Jane De Groot, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 |