BENNETT CLINIC
NPI 1083946586
Clinic/Center - Physical Therapy in Prescott, AZ
About Bennett Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENNETT CLINIC (NPI 1083946586) is a healthcare organization registered as a physical therapy in Prescott, Arizona and active in the NPI registry since February 2010. The organization lists Wayne Anthony Bennett, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bennett Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Bennett Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bennett Clinic LLC's NPI number?
The NPI number for Bennett Clinic LLC is 1083946586. It was assigned to this organization in the NPPES registry on February 8, 2010. The provider is doing business as Bennett Clinic.
Where is Bennett Clinic LLC located?
Bennett Clinic LLC is located at 1202 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 771-9400.
What is Bennett Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Bennett Clinic LLC enrolled in Medicare?
Yes. Bennett Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bennett Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bennett Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (4) and Physical Therapist in Private Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bennett Clinic LLC was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bennett Clinic · NPI 1083946586
Physical Therapy organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since February 8, 2010.
## Identity
- **NPI:** 1083946586 (Entity type: Organization)
- **Enumerated:** February 8, 2010
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Bennett Clinic Llc
- **Organization subpart:** No
- **Authorized official:** Wayne Bennett, DIRECTOR
## Practice location
- **Address:** 1202 WILLOW CREEK RD, Prescott, AZ 86301-1428
- **Phone:** (928) 771-9400 · **Fax:** (928) 771-9464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (4), Physical Therapist in Private Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1083946586) · Data from the CMS NPPES public registry.