MEDICARE: LORRI A BENTLEY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-005044	AZ

General Provider Information

NPI Number	:	1144345133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRI A BENTLEY P.T.

Provider Business Mailing Address
First Line	:	41125 N DAISY MOUNTAIN DR STE 125
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-4964
Country	:	US
Telephone Number	:	623-551-9706
Fax Number	:	623-551-5078

Provider Business Practice Location Address
First Line	:	3120 W CAREFREE HWY STE B-5
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-3201
Country	:	US
Telephone Number	:	623-434-4655
Fax Number	:	623-434-4657

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/27/2025

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