BENNETT CLINIC
NPI 1083946586
Clinic/Center - Physical Therapy in Prescott, AZ

Active since February 08, 2010CLIA 03D2074170 · Waiver
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 771-9400(928) 771-9464 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 holds a CLIA Waiver certificate valid through March 2, 2028 and lists Wayne Anthony Bennett, Director, as its authorized official.

NPPES Registry Identity

NPI1083946586
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameBENNETT CLINIC LLC
Location Address1202 WILLOW CREEK RDPrescott, AZ 86301-1428
Mailing Address1202 Willow Creek RdPrescott, AZ 86301-1428 · (928) 771-9400 · Fax (928) 771-9464
Fax(928) 771-9464
Organization SubpartNo
Authorized OfficialWayne Anthony BennettDirector · (928) 771-9400
Enumeration DateFebruary 8, 2010
Last NPPES UpdateMarch 6, 2013
NPI 1083946586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in AZ · PT 6078
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedChiropractor · OrthopedicTaxonomy 111NX0800X · License 5009 (AZ)
1202 WILLOW CREEK RD, Prescott, AZ 86301

Other Names 1

Doing Business AsBennett Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2074170

Bennett Clinic · Prescott, AZ
Active · expires Mar 2, 2028
CLIA Number03D2074170
Laboratory TypePractitioner Other
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorWayne Bennett
Laboratory Phone(928) 771-9400
Laboratory LocationBennett Clinic3191 Stillwater Dr Ste B, Prescott, AZ 86305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Chiropractor
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Chiropractor
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Chiropractor (Orthopedic)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Physical Therapist
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Chiropractor (Orthopedic)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301

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.

Does Bennett Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2074170) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.