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

Tom D Bennetch, PT

Individual provider Physical Therapist · NPI 1174638084

Tom D Bennetch, PT is a Physical Therapist in Private Practice in Lake Havasu City, Arizona. Qualified in 1994, 32 years ago. Practices with True Rehab of Arizona, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
32
Licensed in
AZ
In the registry since
2006
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

297 S Lake Havasu Ave #102
Lake Havasu City, AZ 86403
Phone: (928) 453-0501
Fax: (928) 453-0502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4446 (AZ)

Record details

NPI number1174638084
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESAugust 30, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice True Rehab Of Arizona,Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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