MARJORIE BENNETT (DPT) – Physical Therapist, NPI 1912250994

MARJORIE BENNETT (DPT) is a healthcare provider. based in Austin, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 3112740 (TX). The NPI Number for MARJORIE BENNETT (DPT) is 1912250994

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MARJORIE BENNETT (DPT)
NPI
1912250994
Phone
(512) 345-4421
Address
11623 ANGUS RD
Enumeration Date
16 October 2012
Last Update Date
16 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3145177669
Graduation Year
2012 (14 years ago)
PAC ID
1759534969
Group Practice PAC ID
2961838198
Professional Enrollment ID
I20200207000640
Address ID
MO630251219EU15XXXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MARJORIE BENNETT (DPT)

  • 11623 ANGUS RD

    SUITE 18

    AUSTIN, TX 787594003

    Phone: (512) 345-4421

    Fax: (512) 345-9294

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200207000640IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes80648$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes57745$0
97530Therapy procedure using functional activities55744$0
97116Therapy procedure for walking training, each 15 minutes41736$0
97124Therapy procedure using massage, each 15 minutes38139$0
View full utilization report →

Insurance plans in this area (ZIP 78759)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961838198View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Can I use this page to confirm MARJORIE BENNETT (DPT)'s NPI?
Yes. MARJORIE BENNETT (DPT) is listed with NPI 1912250994 in the public NPI dataset.
Is MARJORIE BENNETT (DPT) listed as active for patients and plans?
The listing shows MARJORIE BENNETT (DPT) as active in the NPI system.
What healthcare role does MARJORIE BENNETT (DPT) hold?
Scheduling teams often label MARJORIE BENNETT (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MARJORIE BENNETT (DPT)?
MARJORIE BENNETT (DPT)'s geographic hint is Austin, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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