Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124110739 Individual Practitioner Male Practitioner

Jack Bentley , PT

Specialist • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Jack Bentley, PT is a registered healthcare professional specializing in Specialist in Mobile, AL. Practice services are available at 67 E MIDTOWN PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

67 E Midtown Park

Mobile, AL 366064141

Telephone 2514761279
Fax 2514762882

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.8 Yrs
State Avg: 34.8 Yrs
Regional Practice Density
62 Specialists

Practicing in Mobile, AL (611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL PTH3594

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physical Therapy License
PTH3594 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Donovan Brooks , PT

Physical Therapist

NPI 1043310949

Physical Therapist

Gwen Fassbender , PT

Physical Therapist

NPI 1104986231

Physical Therapist

Carol Evans , OTR

Occupational Therapist

NPI 1750442620

Occupational Therapist Registered

Maria Shepherd , PT

Physical Therapist

NPI 1811057953

Physical Therapist

NPI 1861554941

Physical Therapist, Master of Science in Physical Therapy, Certified Athletic Trainer

Scott Pickett , LPTA

Physical Therapy Assistant

NPI 1902966054

Licensed Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 67 E MIDTOWN PARK, MOBILE, AL 366064141 (Tel: 2514761279)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5757 DEERWOOD DR S, MOBILE, AL 366183004 (Tel: 2513448463)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK BENTLEY, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #PTH3594 in AL)

🟢
Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124110739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

5757 Deerwood Dr S

Mobile, AL 366183004

Phone: 2513448463

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.