MEDICARE: MRS. KRISTEN BENTLEY DPT/PT

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	2305208822	VA
2	2251X0800X	Orthopedic Physical Therapist	033910	NY

General Provider Information

NPI Number	:	1851674501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTEN BENTLEY DPT/PT

Provider Business Mailing Address
First Line	:	4840 WALLER RD.
Second Line	:	SUITE 200
City	:	RICHMOND
State	:	VA
Zip	:	23230
Country	:	US
Telephone Number	:	757-784-5334
Fax Number	:	804-412-8105

Provider Business Practice Location Address
First Line	:	4840 WALLER ROAD
Second Line	:	SUITE 200
City	:	RICHMOND
State	:	VA
Zip	:	23230
Country	:	US
Telephone Number	:	804-893-5010
Fax Number	:	804-412-8105

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	01/05/2026

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