JOLENE LARAE BENNETT PT
NPI 1619551165
Physical Therapist - Orthopedic in Grandville, MI

Q: What is Jolene Bennett's NPI number?

The NPI number for Jolene Bennett is 1619551165. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Jolene Bennett's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Jolene Bennett was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 11, 2021

3540 FAIRLANES AVE SW, GRANDVILLE, MI 49418(616) 531-0464(616) 531-3651 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jolene Larae Bennett Pt NPPES

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

JOLENE LARAE BENNETT PT (NPI 1619551165) is an individual orthopedic provider in Grandville, Michigan, licensed in Michigan (5501003994) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1619551165

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameJOLENE LARAE BENNETTCredential: PT

Location Address3540 FAIRLANES AVE SWGrandville, MI 49418-1536

Mailing Address3540 Fairlanes Ave SwGrandville, MI 49418-1536 · (616) 531-0464 · Fax (616) 531-3651

Phone(616) 531-0464

Fax(616) 531-3651

Sole ProprietorNo

Enumeration DateMay 11, 2021

NPPES CertifiedMay 11, 2021

✔ NPI 1619551165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MI · 5501003994

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

3540 FAIRLANES AVE SW, Grandville, MI 49418

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Other Providers at the Same Location NPPES 2

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

DALE OLEARY

Physical Therapist

3540 FAIRLANES AVE SW
GRANDVILLE, MI 49418

Kent County (616) 531-0464

DR. ADAM J MCINTYRE I DPT

Physical Therapist

3540 FAIRLANES AVE SW
GRANDVILLE, MI 49418

Kent County (616) 531-0464

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 Jolene Bennett's NPI number?

The NPI number for Jolene Bennett is 1619551165. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Jolene Bennett located?

Jolene Bennett practices at 3540 Fairlanes Ave SW, Grandville, MI 49418. The listed phone number is (616) 531-0464.

What is Jolene Bennett's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jolene Bennett was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.