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

Mary Kathryn Frey Bennett, DPT

Individual provider Pediatric Physical Therapist · NPI 1851026496

Mary Kathryn Frey Bennett, DPT is a Physical Therapist in Private Practice in Gorham, Maine. Qualified in 2020, 6 years ago. Practices with Back in Motion Physical Therapy LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

94 Main St
Gorham, ME 04038-1340
Phone: (207) 839-5860
Fax: (207) 839-2499
Show map & directions

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

Additional practice locations (1)

  • 508 Gentilly Rd, Statesboro, GA 30458-5149 — (912) 681-7768

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT016016 (GA)

Record details

NPI number1851026496
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Back In Motion Physical Therapy Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount