Individual provider · Type 1 NPI

James Tyler Bennett, LPTA

Physical Therapy Assistant · Suffolk, VA

NPI number 1104657279 Active

Practice location

3920A Bridge Rd Ste 306A
Suffolk, VA 23435-1127

Mailing address

4409 Liam Close
Chesapeake, VA 23321-4259

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605769 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104657279

James Tyler Bennett, LPTA's National Provider Identifier is 1104657279, issued on Aug 12, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Suffolk, VA. The record was last updated on Aug 12, 2024.