Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Bennett, PT

Individual provider Physical Therapist · NPI 1780895771

Jack Bennett, PT is a Physical Therapist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11709 Old Ballas Rd Ste 205
Saint Louis, MO 63141-7029
Phone: (314) 991-0480
Fax: (317) 991-0487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence R1364 (MO)

Record details

NPI number1780895771
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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