MR. JACK BENTLEY P.T.
NPI 1124110739
Specialist in Mobile, AL

Q: What is Jack Bentley's NPI number?

The NPI number for Jack Bentley is 1124110739. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Jack Bentley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Bentley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 29, 2006

67 E MIDTOWN PARK, MOBILE, AL 36606(251) 476-1279(251) 476-2882 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Jack Bentley P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK BENTLEY P.T. (NPI 1124110739) is an individual specialist in Mobile, Alabama, licensed in Alabama (PTH3594) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1124110739

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. JACK BENTLEYCredential: P.T.

Location Address67 E MIDTOWN PARKMobile, AL 36606-4141

Mailing Address5757 Deerwood Dr SMobile, AL 36618-3004 · (251) 344-8463

Phone(251) 476-1279

Fax(251) 476-2882

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124110739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · PTH3594

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

67 E MIDTOWN PARK, Mobile, AL 36606

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Other Identifiers 1

OtherPTH3594AL · Physical Therapy License

Other Providers at the Same Location NPPES 4

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

MR. DONOVAN DEWAYNE BROOKS PT

Physical Therapist

67 E MIDTOWN PARK
MOBILE, AL 36606

Mobile County (251) 476-1279

MRS. GWEN S. FASSBENDER PT

Physical Therapist

67 E MIDTOWN PARK
MOBILE, AL 36606

Mobile County (251) 476-1279

MRS. MARIA KAI SHEPHERD PT

Physical Therapist

67 E MIDTOWN PARK
MOBILE, AL 36606

Mobile County (251) 476-1279

SCOTT ALAN PICKETT LPTA

Physical Therapy Assistant

67 E MIDTOWN PARK
MOBILE, AL 36606

Mobile County (251) 476-1279

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 Jack Bentley's NPI number?

The NPI number for Jack Bentley is 1124110739. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Jack Bentley located?

Jack Bentley practices at 67 E Midtown Park, Mobile, AL 36606. The listed phone number is (251) 476-1279.

What is Jack Bentley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Bentley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.