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

James Tyler Bennett, LPTA

Individual provider Physical Therapy Assistant · NPI 1104657279

James Tyler Bennett, LPTA is a Physical Therapy Assistant in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

3920A Bridge Rd Ste 306A
Suffolk, VA 23435-1127
Phone: (757) 983-0025
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306605769 (VA)

Record details

NPI number1104657279
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 11, 2024
Mailing address4409 Liam Close, Chesapeake, VA 23321-4259

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